title: Post-traumatic Back Pain Revealed as Tuberculous Spondylitis -A Case Report-.
abstract: Tuberculous spondylitis is a very rare disease, but it can result in bone destruction, kyphotic deformity, spinal instability, and neurologic complications unless early diagnosis and proper management are done. Because the most common symptom of tuberculous spondylitis is back pain, it can often be misdiagnosed. Atypical tuberculous spondylitis can be presented as a metastatic cancer or a primary vertebral tumor. We must make a differential diagnosis through adequate biopsy. A 30-year-old man visited our clinic due to back and chest pain after a recent traffic accident. About 1 year ago, he had successfully recovered from tuberculous pleurisy after taking anti-tuberculosis medication. We performed epidural and intercostal blocks but the pain was not relieved. For the further evaluation, several imaging and laboratory tests were done. Finally, we confirmed tuberculous spondylitis diagnosis with the biopsy results.
authors.affiliation: Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Bum Suk
authors.initials: BS
authors.lastname: Kim
authors.forename: Jeong Hee
authors.initials: JH
authors.lastname: Shin
authors.forename: Ho Sik
authors.initials: HS
authors.lastname: Moon
authors.forename: Jin Young
authors.initials: JY
authors.lastname: Chon
authors.forename: Choon Ho
authors.initials: CH
authors.lastname: Sung