Conversation: The conversation between human and AI assistant.
[|Human|] h/o bachache x 1.5 mth,at night pain is more,3 kg waight loss age-42y, doctor MRI report abnormal ivolvenent of D11 vertebra-posterior part of body and both pedicles,lamina- spinous process with posterior epidural soft tissue compressing spinal cord.similar involvement of L2 vertebra and C6 vertebra. BIOPSY-LEVEL D11-tuberculous osteomyelites. CRP-30,HB-10%. QUESTION-pt.is 4 drug AKT+LEVOFLOXACIN ,now what is advise about management of this case inclued treatment,rest,diet,prevention of complication,check up schedule,investigation.can pt.do his routine practice?
[|AI|]  Hello, I have studied your case. He should take absolute bed rest to avoid vertebra collapse. Diet should be high protein with high antioxidants. Complication include access formation, paraplegia,bladder incontinence. For preventing complication regular 1 month check up and rest is very important He will check clinically regarding any persistent infection. We advise blood investigation like Complete blood count, ESR, CRP, 3 phase bone scans. And if required MRI again. Depending on state of infection medications can be given in form of antibiotic, or if required debridement can be done. I will advise you to improve your immunity to combat against osteomyelitis by high protein food, and some herbal immunity boosters. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care