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Managing spondylitis tuberculosis in a patient with underlying diabetes and hypothyroidism:A case report

World Journal of Clinical Cases 2022年第21期10卷 7451-7458页

作者： Bernadette Dian Novita Ari Christy Muliono Sumi Wijaya Imelda Theodora Yudy Tjahjono vincentius diamantino supit vincentius Michael Willianto Department of Pharmacology and Therapy Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113East JavaIndonesia Department of Internal Medicine Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Internal Medicine Premier Surabaya HospitalSurabaya 60111Indonesia Department of Internal Medicine Gotong Royong Surabaya HospitalSurabaya 60110Indonesia Faculty of Pharmacy Widya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Pathology Anatomy Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Emergency Medicine Gotong Royong Surabaya HospitalSurabaya 60110Indonesia Department of General Medicine Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia

BACKGROUND Tuberculosis(TB)remains one of the highest Asia’s health *** TB in diabetes mellitus(DM)and hypothyroidism patients is a rare case of extrapulmonary ***,there is a lack of therapeutic guidelines to treat spondylitis TB,particularly with type 2 DM(T2DM)and hypothyroidism as *** we present a case of spondylitis TB with T2DM and hypothyroidism in a relatively young patient and its therapeutic *** SUMMARY We report the case of a 35-year-old male patient from Surabaya,*** on anamnesis,physical examination,and magnetic resonance imaging,the patient has been categorized in stage II of spondylitis TB with grade 1 ***,the patient also had a high HbA1c level,high thyroid stimulating hormone,and low free T_(4)(FT_(4)),which indicated T2DM and hypothyroidism.A granulomatous process was observed in the histopathological *** antituberculosis drugs isoniazid and rifampicin were *** addition,insulin,empagliflozin,and linagliptin were given to control hyperglycemia conditions,and also levothyroxine to control *** The outcome was *** patient was able to do daily activities without pain and maintained normal glycemic and thyroid *** such cases,we recommend the treatment of spondylitis TB by spinal surgery,together with T2DM and hypothyroidism therapies,to improve the patients’*** early and non-invasive diagnoses and therapy are necessary.

关键词： Spondylitis tuberculosis Type 2 diabetes mellitus Hypothyroidism Case report

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