Suspect wrong and you will be right. Bone tuberculosis as a cause of cronic low back pain. Case Report.

Abstract

Although tuberculosis is considered the second most lethal infectious disease in the world, it is currently a rare disease in our environment. The forms of extrapulmonary tuberculosis have increased relatively due to, among other causes, immigration from endemic areas. Tuberculous affection of the lumbar spine is manifested as chronic low back pain, associating latent, unspecific symptoms, which may lead to advanced syndromes due to a diagnostic delay. Diagnosis is challenging for the clinician, as it requires a high suspicion and a multidisciplinary approach. The treatment at present is medical, considering surgery in few exceptionally. The management of vertebral tuberculosis represents a challenge for the anesthesiologist, who will have to deal with perioperative management, antibiotic therapy, as well as pain treatment through pharmacological therapy or interventional techniques.