title: Pott's paraplegia secondary to Scrofuloderma is a rare association.
abstract: METHODS
  Spinal tuberculosis as all other osteoarticular tuberculosis occurs as a result of hematogenous dissemination of Mycobacterium tuberculosis from a primarily infected visceral focus mainly lungs, but Pott's paraplegia occurring secondarily to Scrofuloderma has not been reported till date.
  
  
  OBJECTIVE
  To document such an association of Pott's paraplegia and Scrofuloderma.
  
  
  METHODS
  A 29-year-old female presented to us with low backache and paraplegia of 1 month duration. Clinical examination showed multiple healed Scrofuloderma lesions over sterum and neck (Figure 1). Magnetic resonance imaging (Figure 4), computed tomography (Figure 3) and X-ray (Figure 2) showed Pott's spine involving dorsal vertebrae (D8-10) with pre and paravetebral abscess with intraspinal extension. She was treated by minimally invasive surgery to drain pus and granulation tissue by resecting transverse process of D9 vertebra. Drained material was sent for histopathological examination, Zielh-neelsen (ZN) staining, culture and sensitivity for M. tuberculosis. Patient completely recovered neurologically after 1 month of surgery.
  
  
  RESULTS
  Patient completely recovered neurologically after surgery and is presently on multidrug chemotherapy and spinal brace.
  
  
  CONCLUSIONS
  Pott's paraplegia can occur secondary to Scrofuloderma and it can be managed by multidrug antitubercular therapy and minimally invasive surgical procedure.
authors.affiliation: Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
authors.forename: R K
authors.initials: RK
authors.lastname: Kanojia
authors.forename: M
authors.initials: M
authors.lastname: Kalra
authors.forename: A
authors.initials: A
authors.lastname: Sareen
authors.forename: K B
authors.initials: KB
authors.lastname: Reddy
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009169:Mycobacterium tuberculosis / Q000502:physiology*; D015898:Tomography Scanners, X-Ray Computed; D014382:Tuberculosis, Cutaneous / Q000150:complications*; D014399:Tuberculosis, Spinal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery