Clinical Presentation, Features, and Examination of a Case of Suspected Tuberculosis

India is a country where tuberculosis (TB) is an epidemic disease, and osteoarticular TB is common. The spine is affected by almost 50 percent of those afflicted with osteoarticular TB. Early suspicion, timely diagnosis, and treatment may prevent neurological deficits and other complications like spine deformity or instability. The onset of symptoms is usually insidious and classical constitutional symptoms may be minimum or absent. A high index of suspicion and early investigations, including blood tests, X-rays, and MRI are essential for early diagnosis. A cold abscess may present occasionally without any symptoms and rarely with acute neurological deficit.