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KMID : 1024720220120020098
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Geriatric Rehabilitation
2022 Volume.12 No. 2 p.98 ~ p.103
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Multidrug-resistant Atypical Tuberculous Spondylitis Misdiagnosed as Somatoform Disorder: A Case Report
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Kim Kyung-Min
Uhm Kyeong-Eun
Koh Seong-Eun
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Abstract
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Spinal tuberculosis usually progresses slowly and insidiously with non-specific symptoms at disease onset, especially in older people. Diagnosis is often delayed, and the condition is frequently misdiagnosed due to non-specific symptoms, especially in elderly patients. Neurological symptoms may appear when the disease has progressed considerably. Combined treatment with surgery and anti-mycobacterial medication should be required when neurological abnormalities develop. Thorough evaluation of functional status and realistic goal setting are essential to provide appropriate rehabilitation in elderly people. We report a case of a 68-year-old woman with multidrug resistant tuberculous spondylitis initially misdiagnosed as somatoform disorder. Due to drug resistance, the patient underwent three spinal surgery and her treatment regimen was changed to linezolid from HERZ (Isoniazid, Rifampin, Ethambutol, Pyrazinamide). The patient experienced linezolid-induced optic neuropathy, necessitating further change in treatment.
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KEYWORD
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Tuberculosis, Multidrug- resistant, Spondylitis
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