Sir,We are happy that our manuscript is being read with great interest. I would like to address the queries raised on our manuscript.[1]The role of steroids in transverse myelitis due to infection is controversial. Some studies have found IV methylprednisolone[2] to be useful while some studies have not. In view of the above reports, we planned to give IV methylprednisolone pulse along with antituberculous therapy.There are reports of worsening of the existing symptoms or the appearance of new lesions in patients who initially respond well to the antituberculous therapy.[34] However, none of our cases had such a paradoxical worsening clinically.We also did not witness patients with transverse myelitis to have discitis, vertebral body involvement, or abscess.
Authors: V C C Cheng; P L Ho; R A Lee; K S Chan; K K Chan; P C Y Woo; S K P Lau; K Y Yuen Journal: Eur J Clin Microbiol Infect Dis Date: 2002-11-07 Impact factor: 3.267