Evidence map›Paper›PMID 36158013›Full record

ArticleWorld journal of clinical cases2022

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

Bernadette Dian Novita, Ari Christy Muliono, Sumi Wijaya, Imelda Theodora, Yudy Tjahjono, Vincentius Diamantino Supit, Vincentius Michael Willianto

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Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Bernadette Dian NovitaDepartment of Pharmacology and Therapy, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya 60113, East Java, Indonesia. novita@ukwms.ac.id.
Ari Christy MulionoDepartment of Internal Medicine, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya 60113, Indonesia.
Sumi WijayaFaculty of Pharmacy, Widya Mandala Surabaya Catholic University, Surabaya 60113, Indonesia.
Imelda TheodoraDepartment of Pathology Anatomy, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya 60113, Indonesia.
Yudy TjahjonoFaculty of Pharmacy, Widya Mandala Surabaya Catholic University, Surabaya 60113, Indonesia.
Vincentius Diamantino SupitDepartment of Emergency Medicine, Gotong Royong Surabaya Hospital, Surabaya 60110, Indonesia.
Vincentius Michael WilliantoDepartment of General Medicine, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya 60113, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) remains one of the highest Asia's health problems. Spondylitis TB in diabetes mellitus (DM) and hypothyroidism patients is a rare case of extrapulmonary tuberculosis. However, there is a lack of therapeutic guidelines to treat spondylitis TB, particularly with type 2 DM (T2DM) and hypothyroidism as comorbidities. Here we present a case of spondylitis TB with T2DM and hypothyroidism in a relatively young patient and its therapeutic procedure. CASE SUMMARY: We report the case of a 35-year-old male patient from Surabaya, Indonesia. Based on anamnesis, physical examination, and magnetic resonance imaging, the patient has been categorized in stage II of spondylitis TB with grade 1 paraplegia. Surprisingly, the patient also had a high HbA1c level, high thyroid stimulating hormone, and low free T

conclusionThe outcome was satisfactory. The patient was able to do daily activities without pain and maintained normal glycemic and thyroid levels. For such cases, we recommend the treatment of spondylitis TB by spinal surgery, together with T2DM and hypothyroidism therapies, to improve the patients' condition. Prompt early and non-invasive diagnoses and therapy are necessary.

Indexed as

Case reportHypothyroidismSpondylitis tuberculosisType 2 diabetes mellitus

Identifiers

PMID36158013
PMCPMC9353897

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