The Wound From TB Spondylitis Surgery Is Enlarged And Has A White, Yellowish Discharge?
Good morning, r nI have undergone spinal surgery as well as cleansing of pus due to bone tuberculosis for almost 1 month on July 27, and now the surgical wound is enlarging after removing the stitches and still bleeding white yellowish discharge, I was given antibiotics and ointments at the time of control, and if the wound does not dry out it should be operated again. does it transmit the TB virus too? and is what happened to the wound normal?
Hi, you had spinal surgery for TB spondylitis. TB spondylitis is an infectious disease by mycobacterium tuberculosis that attacks the spine. Usually it is the spread of the infection elsewhere, namely the respiratory tract. The bacteria spreads to the spine through the bloodstream. These bacteria cause damage to the spine, pressing on the nerves and causing limb weakness. These bacteria form an abscess, which is a pocket filled with pus that is greenish yellow (mucopurulent), consisting of damaged spinal cells, mycobacterium tuberculosis bacteria and inflammatory cells. This pus has the potential to transmit germs to nearby people who are exposed to it for a long time and continuously. Especially in people with low immune systems, for example in people with HIV and diabetes. In addition, medical personnel and children who share the same house with the sufferer are also at high risk of transmitting these bacteria.
Patients with TB spondylitis will undergo surgery if there is weakness of the limbs and / or from radiological examinations of the spine, there is an abscess with a large size so it is not enough to give medication alone. Any surgery will have risks, such as bleeding, secondary infection or surgical wounds that are difficult to heal. This is also influenced by the patient's body condition. In patients with diabetes, the wound will be more difficult to heal because there is damage to the blood vessels (especially those around the wound) so that the nutrients and oxygen needed for wound healing are not properly distributed. I suggest that you should go back to consult with the orthopedic doctor who handles it in order to get further treatment. The doctor concerned will be more competent with your condition. The doctor may need surgery and cleaning the pus again. All you have to do is clean the surgical wound regularly and make sure to use clean tools. Families who help should use masks to prevent transmission through inhaled air. Home ventilation and lighting must be sufficient to prevent bacteria from being active.
That is the information I have provided, I hope it is useful. dr. Nira