Jagodish GhoshNational Institute of Traumatology and Orthopedic Rehabilitation, Bangladesh
Title: Spinal tuberculosis in paediatric patient
This cross sectional study was done in National Centre for Tuberculosis and Research and 250 bedded TB hospital, Shyamoli , Dhaka. In this study patient suffering from spinal tuberculosis attending this hospital between January 2007 to December 2017 were included. Patients were diagnosed on the basis of clinical manifestation, laboratory tests, x-ray and magnetic resonance image findings (n=37). Histological confirmation was done with fine needle aspiration cytology. Pediatric spinal tuberculosis is a public health problem of special significance because it is a marker of recent transmission of tuberculosis. Although there was a major decline in its prevalence during later decades of twentieth century, it has been reported in recent decades that there is a rising incidence of spinal tuberculosis along with other form of tuberculosis in both developing and developed countries. The purpose of this study was to analyze the pattern of spinal tuberculosis in pediatric patient in a developing country. The study revealed that 20.20% of the patient in this study were in pediatric age group. There were two peak age group of incidences of spinal tuberculosis among pediatric patients. The first peak was in age group 2-5 years and the second peak was in the age group 11-15 years. Majority of the patient in this study 22(53.65%) were presented with evening rise of temperature and weight loss. Among the pediatric patients 31(75.65%) came from very low-income family. Predisposing factors included are malnutrition, poor sanitation and educational status. Incidence of pediatric spinal tuberculosis is quite high in developing country (20.20%) with two peak age group of incidences.
Jagodish Chandra Ghosh has completed MS(Ortho-surgery) from National Institute of Traumatology and Orthopedic Rehabilitation, Dhaka, Bangladesh and Fellowship in Spine surgery from Indian Spinal Injury Center (ISIC), Delhi, India. He worked as lecturer, registar, consultant, associate professor and professor in in different government institutions of Bangladesh. He has authored and co-authored multiple peer-reviewed scientific papers and presented works at many national and international conferences. Dr. Jagodish area of interests are spine, joints & orthopedics surgery