{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:06Z","timestamp":1756368606646,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Chronic back pain is an extremely common complaint. All primary care physicians will be on the lookout for the \u2018red flags\u2019 that suggest serious pathology. The diagnosis of spinal infection with tuberculosis (TB) is uncommon and often not considered, especially in areas where the rate is very low such as the south west of England. We describe a patient presenting to the emergency department with severe pain, immobility and with a sensory deficit level. Unfortunately, given the favourable results for early medical treatment for spinal TB, this patient presented late and had a very poor outcome.<\/jats:p>","DOI":"10.1136\/bcr-2012-008511","type":"journal-article","created":{"date-parts":[[2013,3,15]],"date-time":"2013-03-15T10:47:51Z","timestamp":1363344471000},"page":"bcr2012008511","source":"Crossref","is-referenced-by-count":4,"title":["Missing red flags in back pain\u2014tuberculosis of the spine: an important differential for back pain in non-endemic countries"],"prefix":"10.1136","volume":"2013","author":[{"given":"Matt Alwyn","family":"Edwards","sequence":"first","affiliation":[{"name":"Emergency Department, Imperial College Healthcare Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Emergency Department, Plymouth NHS Trust, Plymouth, Devon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Alao","sequence":"additional","affiliation":[{"name":"Emergency Department, Plymouth NHS Trust, Plymouth, Devon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,3,15]]},"reference":[{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2005.032862"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.2","unstructured":"Health Protection Agency website. http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/HealthProfiles\/HPPSummaryInformation\/HPPSouthWest\/HPPAreaSumDevon\/ (accessed 10 Sept 2012)."},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1432-2"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1414-4"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7388.535"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000244618.06877.cd"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.09.002"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.8","first-page":"1181","article-title":"Evaluation and treatment of acute lower back pain","volume":"75","author":"Kinkade","year":"2007","journal-title":"Am Fam Physician"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.9","unstructured":"National Institute for Health and Clinical Excellence. Low back pain: early management of persistent non-specific low back pain. CG88. London: National Institute for Health and Clinical Excellence, 2009."},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.10","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.100.3.134"},{"key":"2025082800553711000_2013.mar14_1.bcr2012008511.11","unstructured":"Health Protection Agency. Tuberculosis in the UK: annual report on tuberculosis surveillance in the UK, 2010. 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Cochrane Database Syst Rev 2006;(1):CD004532.","DOI":"10.1002\/14651858.CD004532.pub2"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-008511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:55:45Z","timestamp":1756367745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-008511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,15]]},"references-count":15,"alternative-id":["10.1136\/bcr-2012-008511"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-008511","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,3,15]]}}}