Once again, Birmingham's treatment room resembles a scene from Casualty as their injury list is exacerbated by three additions.

Muzzy Izzet has sustained a fresh calf injury that is expected to rule him out of tomorrow's crucial match against Tottenham Hotspur in what has been another frustrating season for the midfielder.

Izzet has been involved in only 17 fixtures for Birmingham and is sorely missed when unavailable.

David Dunn is also a doubt, although not totally ruled out of contention, after his hamstring tightened following an 80-minute appearance against West Bromwich Albion last Saturday.

Chris Sutton, who was expected to recover from his groin injury, has also sustained a calf injury and is unlikely to be involved tomorrow.

It is another hammer blow to Steve Bruce, the Birmingham manager, who will be examining the injury list with despair.

Jiri Jarosik (hamstring), Julian Gray (ankle) and Matthew Upson (pelvic/groin) are also likely to be sidelined to leave Bruce starting at plans B, C and D.

Kenny Cunningham is set to return to the heart of the defence but Mehdi Nafti, despite having returned to full training, is unlikely to feature for at least a month if at all this season.

All of which left Bruce with an almighty headache as he headed off after training to a memorial service for George Best at Manchester Cathedral.

"It's a horrific scenario," he said. "You get Dunny and Muzzy back and then they break down again.

"It's been the story with them for a long time and it's been the story of our season."

However, Eric Black, Bruce's second in command, is determined that the players should not wallow in the disappointment of last week's performance against Albion.

In the cold light of day they still garnered a point against one of their relegation rivals despite the inadequacies of their performance.

Black said: "We were all disappointed last week but one or two errors made it seem ten times worse.

"It enabled Albion to get momentum at the right time and distorted the picture of the game as a whole. The injuries aren't helping but all we can do is keep doing what we think is right.

"The principles of what we are doing will remain the same on the training ground, irrespective of what players are involved.

"The coaching staff have to look for positive signs and make sure we are optimistic ahead of the Tottenham fixture.

"Looking at the league table it is a game that we have to win. It is a home game and we have lost only once at home this year. We need to produce a winning performance for ourselves and the supporters."