A Rare Radiological Manifestation of Disseminated Tuberculous Spondylitisin Acquired Immune Deficiency Syndrome Patient: A Case Report

Tuberculous infection is one of the manifestations of skeletal involvement of human immunodeficiency virus (HIV)-infected patients that most commonly involves the spine (1). The radiologic features reported in the literature are characterized by destruction of the vertebral body, subligamentous extension, frequent paravertebral abscess formation and late involvement of the disk space. Usually, these lesions are hypointense on T1weighted imaging and heterogeneously hyperintense on T2weighted imaging on magnetic resonance imaging (MRI) (2, 3). Herein, we reported a case of a 25-year-old male who was confirmed with spinal tuberculosis by computed tomography (CT)guided biopsy without the appearance of the abovementioned findings on abdominal CT and spine MRI. To our knowledge, these results are not reported previously in the English-medical literature; herein, we reported this feature as one of the manifestations of tuberculous spondylitis.