Managing spondylitis tuberculosis in a patient with underlying diabetes and hypothyroidism: A case report

Table 1 Laboratory examinations

Parameter	Day 0 (patient admission)	Day 5 post admission (several hours before spinal surgery)	Day 8 post admission (day 3 after spinal surgery)	6 mo after spinal surgery	Reference	Unit
Leukocytes	15.300	10.600	12.000	6.390	3.600 -10.600	X cells/μL
Neutrophils	7.840	8.000	7.580	5.900 ↓	5.000–7.500	X cells/μL
Lymphocytes	8.34	7.68	8.25	19.2	18 - 42	%
Monocytes	10.3	9.09	9.55	12.4	2 - 11	%
Eosinophils	2.54	2.78	5.49	7.62	0 - 3	%
Basophils	0.75	0.33	1.26	1.76	0 - 2	%
Hemoglobin	10.9	9.3	10.4	10.8	13.0 -18.0	g/dL
MCV	81.5	80,8	82.3	80.5	80 - 100	fL
Thrombocytes	365.000	329.000	297.000	258.000	150.000 - 450.000	/μL
MPV	7.03	6.9	6.89	6.82	6.5-12.0	fL
Hs-CRP	47.9	NT	NT	NT	0.3-10.0	mg/L
TSH	5.6781	NT	NT	2.6491 ↓	0.35 – 4.94	uIU/mL
FT4	0.84	NT	NT	1.00 ↑	0.70 – 1.48	ng/dL
Lumbar biopsy(microscopical examination)		Granulomatous process was observed, consistent with tuberculous infection
Postprandial plasma glucose	473	345	NT	186 ↓	120-200	mg/dL
Pre-prandial plasma glucose	199	186	NT	NT	70-140	mg/dL
HbA1c	9.9	NT	NT	6.6 ↓	< 6.0	%
Drug sensitivity		Rifampicin sensitive

MCV: Mean corpuscular volume; MPV: Mean platelet volume; hs-CRP: High sensitivity C reactive protein; TSH: Thyroid Stimulating hormone; FT4: Free T4; HbA1c: Hemoglobin A1c; Gene expert: Rapid nucleic acid diagnostic for tuberculosis drug resistance; ↑: Significant increase; ↓: Significant decrease, compared with day 0.