3rd August 2023

The neurosurgical team reviewed a 42-year-old woman after presenting with spastic paralysis of her lower limbs with an associated painful radiculopathy.

The neurosurgical team reviewed a 42-year-old woman after presenting with spastic paralysis of her lower limbs with an associated painful radiculopathy. She has been incontinent of urine. She emigrated from South Africa 4 years ago. MRI of the whole spine shows osteomyelitis and vertebral collapse of T12 and L1 with secondary cord compression. She is febrile at 38’C and has apical shadowing on her Chest X-Ray.

What is her diagnosis?

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