Non-contiguous Rare Presentation of Spinal Tuberculosis: A Case Report.

Area of Science:

• Orthopedics
• Infectious Diseases
• Radiology

Background:

• Spinal tuberculosis (TB), known as Pott's disease, is a severe extrapulmonary TB form affecting vertebrae and discs.
• Typical spinal TB involves contiguous vertebral involvement, but atypical non-contiguous multilevel spinal TB (NMLST) exists.
• Diagnosis is challenging due to gradual onset, nonspecific symptoms, and variable imaging findings.

Observation:

• A 58-year-old South Asian female presented with months of back pain, fatigue, and weight loss.
• Initial TB tests were negative, but spinal MRI suggested NMLST.
• A bone biopsy confirmed the NMLST diagnosis.

Findings:

• This case underscores the diagnostic complexities of atypical spinal TB.
• Negative initial TB tests can delay diagnosis.
• Advanced imaging like MRI is vital for suspecting NMLST.

Implications:

• Timely diagnosis and treatment of spinal TB are critical to prevent vertebral damage and neurological impairment.
• Recognizing atypical presentations like NMLST is essential for effective patient management.
• Further research into improved diagnostic strategies for spinal TB is warranted.