Medical evacuation from Vietnam of an elderly with tuberculosis spondyutis

Ying H. Shieh, Juei Chin Chang

Research output: Contribution to journalArticle

Abstract

Despite the growth in economy in Vietnam, the infrastructure of dependable medical care is still lacking. Therefore, aeromedical evacuation of patients to other countries for further medical interventions has become an important medical service in the region. We report a case where an elderly man who was aeromedically evacuated from Ho Chi Minh City, Vietnam to Taipei Medical University-Municipal Wan Fang Hospital in Taipei, Taiwan. The patient developed a sudden onset of quadriplegia because of an epidural abscess at the cervical spine C6-C7. Antituberculous medication was prescribed for suspected tuberculous spondylitis, because his cerebral spinal fluid showed elevated while blood cells with a predominance of lymphocytes, and mildly elevated total protein. However, whole body tumor scan (67 mCi) and whole body bone scan (99'Tc methylene diphosphonate, 25mCi) did not reveal any specific results. Surgical intervention was arranged because of cervical spine instability and the need for a diagnostic biopsy. Adenocarcinoma of the prostate was found incidentally and was treated with bilateral orchiectomy and radiation therapy. This was the first medical evacuation by the Family Medical Practice group in Ho Chi Minh City, Vietnam to Taiwan.

Original languageEnglish
Pages (from-to)138-140
Number of pages3
JournalInternational Journal of Gerontology
Volume1
Issue number3
DOIs
Publication statusPublished - Sep 2007

Keywords

  • Aeromedical evacuation
  • Tuberculous spondylitis

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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