A CASE OF DISSEMINATED MULTI-DRUG RESISTANT TUBERCULOSIS WITH BONY INVOLVEMENT

Drug resistant tuberculosis continues to be a public health problem, Early diagnosis and initiation of treatment play important role in management of MDR-TB. Here, we report a patient who is 27 year old female diagnose initially as a case of TB pleural effusion and was initiated on 1st line antiTB drugs, after initial response to therapy and completing intensive phase of treatment, in forth month of continuation phase patient presented with symptoms of fever, anorexia and weight loss. Further evaluation with CT scan thorax revealed bony involvement with osteolytic lesions involving multiple ribs and vertebral column leading to multiple paraspinal collections and cold abscess formation involving anterior chest wall, pus CBNAAT showed mycobacterium tuberculosis resistant to rifampicin which was conrm on culture. Patient was diagnosed as case of disseminated MDR-tuberculosis.