Spinal Cord Injury From Tuberculous Spondylitis Misdiagnosed as Metastatic Spinal Tumor and Bacterial Spondylitis: A Case Report & Literature Review.

Abstract

Tuberculous (TB) spondylitis, also known as Pott's disease, was first described by Percivall Pott in 1779. The diagnosis of TB spondylitis is often delayed because of the non-specific nature of the infection, which can lead to severe consequences. Differential diagnosis is especially critical in cancer patients undergoing chemotherapy who present with lymph node or bone metastasis. We present the case of a 76-year-old female with advanced gastric cancer, who was initially suspected of having a metastatic spinal tumor and bacterial spondylitis. The patient presented with lower limb paralysis and was diagnosed with metastatic cancer, resulting in a loss of hope for recovery. However, following the subsequent diagnosis of TB spondylitis and multiple surgical interventions, the patient achieved complete remission and significant improvement, ultimately regaining the ability to walk independently. This case highlights the importance of accurate diagnosis and timely intervention in cases where the initial presentations may mimic metastatic disease.