A 28-year-old man from Pakistan presents with a 4-month history of lumbar back pain, night sweats, and weight loss. MRI spine shows destruction of the...

Question

A 28-year-old man from Pakistan presents with a 4-month history of lumbar back pain, night sweats, and weight loss. MRI spine shows destruction of the L1-L2 vertebral bodies with a large paravertebral abscess and relative preservation of the intervertebral disc. What is the most likely diagnosis?

Accepted Answer

Spinal tuberculosis (Pott's disease)

Answer

Pyogenic vertebral osteomyelitis

Answer

Spinal brucellosis

Answer

Metastatic vertebral disease

Answer

Multiple myeloma

uk-dtmh MCQ (SBA): Spinal Tuberculosis

A 28-year-old man from Pakistan presents with a 4-month history of lumbar back pain, night sweats, and weight loss. MRI spine shows destruction of the L1-L2 vertebral bodies with a large paravertebral abscess and relative preservation of the intervertebral disc. What is the most likely diagnosis?