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Where is the most common site for tuberculosis (TB) spondylitis in children?
Anterior aspect of the lower thoracic region
Anterior aspect of the cervical spine
Posterior elements of the lower thoracic region
Posterior elements of the cervical spine
Transverse process of the lower lumbar spine
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A 19-year-old male with HIV presents with increasing neck pain, lower extremity weakness, and constitutional symptoms over the past 4 weeks. Radiograph and MRI is shown in Figures A and B, respectively. Figure C shows a histologic specimen with Ziehl-Neelsen staining. In addition to surgical management, which of the following pharmacologic regimens is most appropriate?
Cyclophosphamide, hydroxydanurubicin, oncovin, and prednisone
Nafcillin and rifampin
Isoniazid, rifampin, pyrazinamide, and streptomycin
Denosumab, ritonavir, and efavirenz
Vincristine, actinomycin D, and cyclophosphamide