Tuberculous spondylodiscitis: with CT biopsy

Discussion:

TB spondylodiscitis is one of the commonest manifestations of TB outside of the respiratory system.

It may be relatively innocuous in presentation and radiologically have appearances similar to metastatic bone disease.  The discocentric nature of the destruction, as in this case, is more suggestive of spondylodiscitis than metastases.

CT guided biopsy is one method of definitive diagnosis prior to treatment commencement.

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