Özet:

In developed and developing countries, non-pulmonary tuberculosis (ADTB) is a major health problem such as non-pulmonary tuberculosis. ADTB can progress rapidly as it may occur years after primary infection, and it can also manifest itself with an acute picture. TB diagnosis is usually placed by traditional methods and culture such as acid-resistant basil (ARB) paint, radiographic findings. The existing diagnosis methods remain insufficient due to low micobacterial levels in the sample and/or time-consuming procedures. This article presents a case of ADTB diagnosed with TB PZT (polimerase chain reaction). Although radiological and pathological findings are suspicious for TB, there is no positive in the ARB study and TB culture. A 34-year-old woman was referred to with a close back pain that has been present for 3-4 years and has increased in the last 10 days. The patient was placed in the brain surgical clinic with spondylodiskite. It was that it had no fever and night sweat in the story, but it had appetite and weight loss in the last few months. Direct lungs graphics and computer tomography (BT) were normally detected. In the drawn contrast lombary magnetic resonance (MR) graph, the intensive contrast retention in the psoas muscle at the L2-3 level, the L2-3 vertebra corpus in the lombary BT and the bone destruction in the posterior elements were confirmed. The patient was diagnosed and treated during the planned surgical operation. For example, in a microscopic study, ARB was detected negatively. In the LJ (Lewenstein-Jensen) diet, there was no reproduction in TB culture. In the pathological examination chronic inflammation, fibrosis and granulomatosis reactions were observed. The TB PZT result, which was studied with the Real-Time PZT method from the same sample, was positive. In recent years, diagnostic disadvantages in ADTB have decreased with the use of molecular tests. This will also lead to early diagnosis in ADTB, early treatment and indirectly decrease in morbidity and mortality rates. As a result, it is believed that molecular tests may be used in cases where conventional microbiological methods remain insufficient in the diagnosis of ADTB.

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