Intended for healthcare professionals


Never fully examined

BMJ 1998; 317 doi: (Published 05 December 1998) Cite this as: BMJ 1998;317:1567
  1. K P Paulose, retired professor of medicine
  1. Kerala,India

    In 1989, when I was head of the department of medicine in Kerala, a 40 year old unmarried woman, a ward attender in the same hospital, was admitted with mid back pain of three months' duration. A chest xray examination was normal, but an x ray examination of the spine showed collapse of the T10 vertebra with narrowing of intervertebral space. A Mantoux test was positive. In view of the absence of any detectable primary lesion, the possibility of tuberculosis of the spine was suspected. The patient was subsequently referred to the orthopaedic surgeon who also agreed with the diagnosis and advised antituberculous …

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