In this age of enlightenment ( think Google, Ipad, cable), we should not have any tuberculosis of the bone much more tb of the spine. The last time I diagnosed one was 5 years ago. But lo and behold, I saw one yesterday with a partial destruction of his spinal vertebra at the thoracic level. And he has no symptoms except marked lost of weight. He claims he really does not know where the disease came from since he never knew of anybody having the disease coming near him. The sad fact is most of these people are resistant to anti-tb drugs. I started him on regular medicines plus an injection and cross my finger.
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