Lumbosacral tuberculosis symptoms?

summary

Spinal tuberculosis accounts for the first place of bone and joint tuberculosis in the whole body, in which vertebral tuberculosis accounts for the majority, and adnexal tuberculosis is very rare. In the whole spine, the range of motion of the lumbar spine is the largest, and the incidence of tuberculosis of the lumbar spine is also the highest, followed by the thoracic spine and the cervical spine. Tuberculosis of the sacral and caudal vertebrae is very rare. Lumbosacral tuberculosis symptoms? Let's talk about it

Lumbosacral tuberculosis symptoms?

The onset is slow, with low fever, fatigue, emaciation, night sweats, loss of appetite and anemia. Children often cry at night, dull or impatient. Pain is often the first symptom. It is usually mild pain, relieved after rest and aggravated after fatigue. Early pain will not affect sleep, and the elderly will also have pain at night.

In addition to neck pain, there is numbness in the upper limbs and other nerve root stimulation, cough, sneezing will make the pain and numbness worse. When the nerve root is compressed, the pain is severe. If the pain is obvious, patients often use both hands to support the jaw, so that the head forward, neck shortening, posture is very typical. Posterior pharyngeal abscess hinders breathing and swallowing, and the patient snores during sleep. In the later stage, the neck mass caused by cold abscess can be felt on the neck side.

Tuberculosis of thoracic vertebra has back pain symptoms, it must be noted that the pain of lower thoracic vertebra lesions is sometimes manifested as lumbosacral pain. Kyphosis is very common, until the occasional discovery of thoracic kyphosis deformity only to see a doctor.

matters needing attention

Incision and drainage of cold abscess caused by extensive flow of secondary infection, systemic poisoning symptoms are obvious, can not tolerate focus removal surgery can be incision and drainage of pus to save lives. After the incision of cold abscess, the symptoms of systemic poisoning can be controlled, but the incision is very difficult to heal. Because the abscess is very deep, most of them are cut at the top of the abscess, and the drainage is not smooth. 4% isoniazid solution can be used to lavage the pus cavity every day and keep the sinus opening open. A thick rubber tube can be inserted to dilate the ostium, or double cannula can be used for drainage. Pay attention not to let the skin tube, cotton ball and other foreign bodies fall into the pus cavity. It is not suitable to perform incision and drainage for cold abscess without secondary infection. Because of extensive scar tissue around the sinus, inflammatory infiltration and unclear anatomical structure, fistulectomy should not be performed rashly to avoid injury to adjacent blood vessels, nerves or important organs. It is not suggested that the cold abscess should be treated with stratified puncture and injection of antituberculous drugs.