Are we diagnosing tb spine correctly? - The way forward
Almost half a million people fell ill with multidrug-resistant tuberculosis (MDR-TB) in this world,in 2012, yet less than one in 4 of these people was diagnosed, mainly due to a lack of access to quality diagnostic services.The results of treatment of tuberculosis are satisfactory if started early in the disease process.Early diagnosis is thus very important.Late start of treatment due to late diagnosis is a problem threatening the world today.The conventional teaching is to diagnose TB spine if the triad of constitutional symptoms ,raised ESR and spondylodiskitis on imaging is present.But