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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jul 22, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    It's not a tumor.

    I'll post the correct answer in a few days!

    [​IMG]
     

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  2. soha azab

    soha azab Famous Member

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    abscess
     

  3. bb100

    bb100 Bronze Member

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    An intramedullary space occupying lesion
     

    Last edited: Jul 22, 2012
  4. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Spinal TB.

    I should probably have given you more information so you’d have a fair chance at getting the answer right, I’ll do that next time. Anyway, in a matter of weeks or months, an abcess has formed that’s compressing the spinal cord. Possible findings include back pain, mild fever, leukocytosis and an elevated ESR.

    Treatment is the standard TB-medication (8 weeks on rifampicin, isoniazide, pyrazinamide and ethambutol, then 16 weeks on just rifampicin and isoniazide).
     

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