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Updated: Jan 15, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Atypical chest wall pain: paravertebral tuberculosis mimicking costochondritis
Raj Amarnani1, Howard Branley2, Robin Chatterjee3
1Sport and Exercise Medicine, Homerton University Hospital NHS Foundation Trust, London, UK raj.amarnani@nhs.net.
Abstract:
This case describes a woman in her 30s presenting with a 2 month history of thoracic pain, initially suspected to be costochondritis. The pain was unresponsive to conservative management, and imaging revealed a paravertebral mass at the T6-T7 level. The differential diagnosis included malignancy, sarcoma and tuberculosis (TB). A positive QuantiFERON-TB Gold test suggested TB exposure, before a biopsy subsequently confirmed spinal TB. She was started on quadruple anti-tuberculosis therapy and showed significant clinical improvement. This case emphasises the importance of considering TB in the differential diagnosis of costochondritis, particularly in recalcitrant cases.
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