Journal of Infection and Public Health (Jul 2016)

Successful treatment of multi-focal XDR tuberculous osteomyelitis

  • Abeer N. Alshukairi,
  • Abdulrahman A. Alrajhi,
  • Abdulfattah W. Alamri,
  • Adel F. Alothman

Journal volume & issue
Vol. 9, no. 4
pp. 408 – 414

Abstract

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Summary: We herein describe the nosocomial transmission of a pre-XDR or MDR case of pulmonary tuberculosis in a HIV-negative health care worker in an area endemic for MDR and XDR tuberculosis. Following inadequate therapy and non-compliance, he presented with extra-pulmonary XDR tuberculosis in the form of multi-focal osteomyelitis and encysted pleural effusion. He was cured after two years of treatment with various anti-tuberculous drugs in addition to interferon gamma. Keywords: XDR tuberculosis, Osteomyelitis, Therapy