Back pain, weight loss? Be warned, it could be TB (March 24 is World TB Day)
Posted on Mar 22 2014 | IANS
New Delhi, March 22 : Acute back pain, unexplained weight loss, fever and night sweats: If they persist beyond a week, there is cause to worry, health experts caution.Such symptoms are synonymous with spinal tuberculosis, which accounts almost 50 percent of musculo-skeletal TB in developing countries, the experts say.
"Spinal tuberculosis, also known as Pott spine, is one of the most common spinal diseases in India. It represents almost 50 percent of the musculo-skeletal tuberculosis in the developing countries," Shashi Baliyan, managing director, of Clearmedi Healthcare Private Limited, a multidimensional service provider, told IANS.
TB in humans is caused by the Mycobacterium Tuberculosis bacteria.
According to the World Health Organisation (WHO), there are 2.2 million tuberculosis patients in India, which makes it the world's highest TB-burden country.
"Spinal TB often spreads from the lungs via the blood. The lower thorasic and the upper lumbar vertabrae are the most common sites," Baliyan said.
Kailash Nath Gupta, chest and critical care specialist and interventional pulmonologist at Gurgaon's Columbia Asia Hospital, said there is no single test that can accurately diagnose the disease.
"Once TB affects the spine, it can lead to pus formation, which can destroy the vertebrae if not diagnosed and accordingly treated," Gupta added.
"The pus can trickle down to the thigh and the pelvic portions and can even cause an infection in the entire lower part of the body," he noted.
Arun Bhanot, chief of spine services at Gurgaon's Paras Hospital, agreed. "We are in a country which is endemic to tuberculosis. When the immunity level goes down, the
bacteria is likely to strike," he said, adding: "Spinal TB is more prevalent in countries like India, China and Russia".
According to Baliyan, "approximately 10 percent of the TB cases affect the skeleton, and of those, five percent are in the spine".
Gupta suggested evaluation of the spine, among other things, as remedies.
"Patients should not ignore back pain or light fever and should consult a spine specialist if the symptoms persist. MRI (Magentic Resonance Imaging) and
blood tests are a must for TB patients," he said.
For Baliyan, a thorough examination and co-relating the common symptoms forms the key to early diagnosis of the disease.
"Early diagnosis, prompt treatment and compliance with the treatment protocol can lead to managing the disease," he added.