Monday, June 18, 2007

cases from Mukinge

One of my patients now has been hard for me -- a 19 year old boy who
presented with high fevers and paralysis/numbness of his lower
extremities. He can't move either of his legs and can't feel anything
below the belt. We took some X-rays of his spine and thought we might
be able to see a paravertebral abscess, so we did exploratory surgery on
Friday but didn't find anything to drain, so we're back at square one,
except he still can't move. It's difficult because he's very young and
I feel like there's likely a treatable condition if I could just figure
out what it was; as it is, he's not responding to antibiotics, TB
medicine, or steroids, and the prognosis looks very grim. You can pray
for healing for him.

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