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Case Report | Orthopedic | Volume 15 Issue 6, June 2026 | Pages: 852 - 855 | India
An Atypical Presentation of Pott?s Spine Masquerading as Lymphoma / Secondaries
Abstract: Background: Pott's Disease is the most common form of skeletal tuberculosis and usually presents with back pain, constitutional symptoms, and vertebral destruction. However, atypical radiological and clinical manifestations can closely mimic spinal malignancies, leading to diagnostic dilemmas. Differentiating spinal tuberculosis from metastatic disease or lymphoma is crucial because management strategies differ significantly. We report a rare case of atypical spinal tuberculosis in a middle-aged patient who presented with persistent back pain, weight loss, and progressive lower limb weakness. Xray LS showed no significant findings. the flexion and extension views showed no changes in the spine stability. USG abdomen and pelvis showed illdefined hypoechoic splenic lesion /areas- which were indeterminate on ultrasound. Differentials include infiltrative / neoplastic or infective /inflammatory lesions which required further imaging correlation. Magnetic resonance imaging demonstrated findings suggestive of metastatic etiology. Subsequently Whole Body 18-F-FDG PET-CT Scan was done which suggested differentials of Lymphoma v/s Tuberculosis and HPE from bone lesions was recommended. HPE via CT guided Core Biopsy was done which showed no specific diagnostic pathology. The patient was initiated on antitubercular therapy with adjunctive supportive management, resulting in gradual neurological and symptomatic improvement on follow-up.
Keywords: Pott's disease, malignancy, USG, PET SCAN, 18F-FDG, Core biopsy, antitubercular therapy
How to Cite?: Dr. Aman Goyal, Dr. Vidhi Puri, Dr. Pradeep Kumar Singh, "An Atypical Presentation of Pott?s Spine Masquerading as Lymphoma / Secondaries", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 852-855, https://www.ijsr.net/getabstract.php?paperid=MR26616124523, DOI: https://dx.dx.doi.org/10.21275/MR26616124523