Neck swelling: Unusual manifestation of Pott’s spine

AbstractTuberculosis (TB) of the skeletal system constitutes only 1–3% of extrapulmonary TB and usually involves the thoracic spine. These patients usually present with malaise, weight loss, night sweats, muscle spasms, paraspinal swellings or neurological deficits. We report a case of tuberculosis of the spine, which had an unusual presentation only as a painless neck swelling, without any neurological complications. The patient did not respond well to antitubercular therapy (ATT), necessitating thoracotomy and drainage of pus. Then his ATT was continued for 1year and is asymptomatic during 1year of follow up thereafter