What to do about spinal cord infections caused by tuberculosis

Spinal cord infections caused by tuberculosis are usually referred to as tuberculous myelitis. Tuberculous myelitis is a neurological disease caused by Mycobacterium tuberculosis infection of the spinal cord and spinal membrane. It can be treated by medication, puncture or drainage of abscesses. 1. Drug therapy: Tuberculous myelitis usually requires a combination of four or more drugs, commonly used drugs include: isoniazid, rifampicin, ethambutol, pyrazinamide, amikacin, etc., which can alleviate spinal infections, relieve the symptoms of nerve compression, and also control spinal deformities. Meanwhile, combined with surgical treatment, it can achieve better therapeutic effect. 2. Abscess puncture or drainage: mainly for patients with severe spinal cord infection, often accompanied by tuberculosis of surrounding lymph nodes and other organs. Surgical resection of the vertebral plate, incision of the dura mater, puncture of the abscess with a fine needle to extract the pus and, if appropriate, cut off the dorsal side of the spinal cord can be used to achieve adequate drainage and decompression. Local injection of anti-tuberculosis drugs, such as kanamycin sulfate injection and amikacin sulfate injection, is used to strengthen local treatment. Prevention of secondary infection. Patients with spinal cord infection caused by tuberculosis should go to the hospital in time for targeted treatment and examination. Drugs need to be used under the guidance of a professional physician, and should not be used arbitrarily on their own.