Multifocal Tuberculous Spondylitis Caused by Multi-drug Resistant Tuberculosis in a 15-year-old Boy

摘要

A 15-year-old boy presented to the Orthopaedic Department for neck, thoracic and back pain for 6 weeks. The pain progressively worsened and caused difficulty in walking and sitting. His had significant constitutional upset. Examination revealed tenderness and decreased range of movement over the lower cervical spine region and thoraco-lumbar junction. There was no motor or sensory deficit. MRI of the cervical and thoracic spine showed erosion of the anterior vertebral body from C5 to T1 level with paraspinal soft tissue swelling from C4 to T1 level which was compatible with tuberculous spondylitis.