Quote:
Originally Posted by doctom54
With back pain, fever and night sweats Potts Disease is also in the differential.
Potts Disease is osteomyelitis of the spine caused by mycobacterium tuberculosis (TB) usually acquired from drinking unpasteurized milk in third world countries.
I've seen one case in an active duty soldier.
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That is a very good DDx point. The night sweats initially had me thinking about TB, but it just didn't fit the recent history. Talkin about Zebra's
That fits especially with the immature neutrophils and neutrophilia (leukocytosis with left shift). I guess sometimes the hoof beats are from Zebras.
So has Team Sergeant been drinking unpasteurized milk? Otherwise, I'm thinking the proximate cause for the osteomyelitis is the recent dental work.
Still holding with my original plan to ship TS out on the next thing smokin'. All of the likely possibilities are well outside my ability to adequately treat him in the field.