ArticleCase reports in medicine2026
An Unusual Presentation of Spinal Tuberculosis Masquerading as Pyogenic Meningitis: A Case Report.
Article in Case reports in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- An Unusual Presentation of Spinal Tuberculosis Masquerading as Pyogenic Meningitis: A Case Report.Case reports in medicine · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Spinal tuberculosis (TB), though accounting for up to 50% of skeletal TB cases, typically presents insidiously with back pain, kyphotic deformity, or neurological deficits. Atypical presentations, including initial neutrophilic pleocytosis in cerebrospinal fluid (CSF), can mimic bacterial meningitis and complicate diagnosis. Case Presentation: We report the case of a 46-year-old previously healthy male who initially presented with high-grade fever, headache, neck stiffness, and neutrophilic CSF pleocytosis suggestive of bacterial meningitis. Despite empirical antibiotic therapy, the patient developed progressive neurological symptoms, including paraplegia and hypertonia. MRI of the spine revealed T2-T6 vertebral body involvement with compressive myelopathy consistent with spinal TB. CSF PCR for Conclusion: Clinicians should maintain a high index of suspicion for spinal TB in patients with persistent fever, neurological symptoms, and CSF pleocytosis-especially in TB-endemic regions-even when initial laboratory findings suggest bacterial meningitis. Early imaging and targeted therapy can significantly improve outcomes.
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