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Sénéchal, A., Dupieux, C., Karsenty, J., Lustig, S., Breton, P., et al. (2014) Actinomycosis: Etiology, Clinical Features, Diagnosis, Treatment, and Management. Infection and Drug Resistance, 7, 183-197.

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• TITLE: Tuberculosis of the Spine (L5, S1) Secondary to Scrofuloderma with Viral Warts in a 15-Year-Old Male

  AUTHORS: Akunnaya Chioma Ohanenye, Nneka Chioma Okoronkwo

  KEYWORDS: Tuberculosis, Spine, Scrofuloderma, Viral Warts, Anti-TB Drugs, ABSUTH

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.7 No.1, January 19, 2018

  ABSTRACT: We report this case of a 15-year-old male who presented to the children outpatient clinic (CHOP) of Abia State University Teaching Hospital (ABSUTH), Aba on the 5th of November 2015. He had tuberculosis (TB) of the skin (scrofuloderma) which was not diagnosed and had received treatment other than anti-TB medication. He now presented 9 years after with multiple body discharging sinuses, cicatricial skin lesions, tuberculosis of the spine (L5, S1) with contracture of the Achilles Tendon and genital warts. Subsequent treatment with full anti-TB drugs led to resolution of his illness. A higher index of suspicion is required for early diagnosis of extrapulmonary TB. Prompt and adequate treatment with anti-TB medication ensures cure in such cases. Appropriate control program is also known to improve the outcome and reduce sequelae.