Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Persistent Fever When Suffring From Spine TB
Question: My brother spinetb and he is on medicine for last one month but fever is coming back every day .kindly guide.
Brief Answer:
Three possibilities need to be looked into:
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your brother's medical details. Persistent fever in a patient with spine TB raises three possibilities:
1. Prolonged response- in some cases, it may take 4-6 weeks to show treatment response to anti-TB medications,
2. Multi Drug-resistant TB (MDR TB)- In some cases, the TB bacteria may be resistant to the TB drugs. In these cases, second line Anti-TB medications are required.
3. Drug fever- TB medications in some cases can lead to fever. Stopping the drugs for a few days would confirm this possibility.
You can discuss these possibilities with your doctor.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Three possibilities need to be looked into:
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your brother's medical details. Persistent fever in a patient with spine TB raises three possibilities:
1. Prolonged response- in some cases, it may take 4-6 weeks to show treatment response to anti-TB medications,
2. Multi Drug-resistant TB (MDR TB)- In some cases, the TB bacteria may be resistant to the TB drugs. In these cases, second line Anti-TB medications are required.
3. Drug fever- TB medications in some cases can lead to fever. Stopping the drugs for a few days would confirm this possibility.
You can discuss these possibilities with your doctor.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your previous guidance regarding fever of spinetb. Sir esr test was reported today it was 62 today, before the start of medicines for spine tb esr was 66 ie marginal improvement in one month and fever is coming back every day. Sir MRI was done one month back . When should we repeat MRI. Kindly guide.
Brief Answer:
MRI may be repeated after two more months.
Detailed Answer:
Thank you for getting back.
ESR shows mild improvement.
MRI of spine may be repeated after three months of treatment (two more months from now).
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
MRI may be repeated after two more months.
Detailed Answer:
Thank you for getting back.
ESR shows mild improvement.
MRI of spine may be repeated after three months of treatment (two more months from now).
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
