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This revealed bony destruction of multiple higher thoracic vertebrae, with an associated epidural abscess mediating spinal cord impingement at T5. A large prevertebral collection spanning C7\u2013T9 directly compressing and displacing the oesophagus was demonstrated. These findings collectively suggested spinal tuberculosis (Pott's disease); PCR confirmed the presence of <jats:italic>Mycobacterium tuberculosis<\/jats:italic>. The patient was successfully treated with oral anti-tuberculous chemotherapy and physiotherapy.<\/jats:p>","DOI":"10.1136\/bcr.07.2010.3176","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T09:49:56Z","timestamp":1296640196000},"page":"bcr0720103176","source":"Crossref","is-referenced-by-count":1,"title":["Shoulder pain and dysphagia with an unexpected cause"],"prefix":"10.1136","volume":"2011","author":[{"given":"Benjamin H","family":"Mullish","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Apps","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nizar","family":"Damani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,2,2]]},"reference":[{"key":"2025082701355655000_2011.jan29_1.bcr0720103176.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1085700"},{"key":"2025082701355655000_2011.jan29_1.bcr0720103176.2","doi-asserted-by":"publisher","DOI":"10.1086\/605559"},{"key":"2025082701355655000_2011.jan29_1.bcr0720103176.3","unstructured":"National Institute for Health and Clinical Excellence. 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