pott's disease

[soni1979]

Hi,
my mother is 65 yrs old and has been diagnosed for pott's spine also she is diabetic for 6 -7 yrs. 3 yrs back she was diagnosed for pleural effusion(water in lungs) which was drained n she was put on AKT-3 for 9 mnths. she got well after dat. then in feb 2008 she was diagnosed wid a rib fracture n was on complete bed rest for a period of 1 mnth. then in aug 2008 she was diagnosed for lymphnotes TB(she had developed swelled regions near chest n behind right ear) n so she was put on DOTS(a govt of India undertaking) from sept2008 to feb2009.also midway she was operated for stones in gall bladder in jan2009. in feb2009 she complained of back pain n her x-ray was done n she was diagnosed for pott's spine.she is under treatmnt since march2009 n has been advised 4D kit(having 1 tablet of rimactazid,2tabs of PZA-CIBA,1tab of ebutol of sandoz co.)initially she gave good response but recently she is complaining of severe pain in left ribs stretching to stomach n abdomen n again she is completely on bed. her recent x-rays n ultrasound are clear n no clue can be reached for the cause behind this sudden pain.please reply asap. help!!!!!!!!!!!!1

[soni1979]

Thanks!!!! one thing i forgot to tell that she too has hypertension n eving its medicines too. i would like to know how to determine which medicine's side effect is this or which medicine is causing such pains. docs are just suggesting pain killers n saying that the medicine given(4D kit ) takes time to show results. she simply lying on bed is a big problem for her because she was very active earlier.

[Dr Vinod]

The drugs also have lot of side effects and you have see what is causing this: Rifampicin, Pyrazinamide?
She might had a resistant Tuberculosis or the 1st time her course might not have been completed and she developed resistant tuberculosis, Pott' Spine.
The drugs taken should be monitored, her back should be monitored continuosly and the diet should contain lot of protein, calcium and care should be taken for nursing and recovery. Follow up near the Chest & TB specialist, orthopedician and also dietician.
Take care!