{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T04:29:12Z","timestamp":1664771352938},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\"><jats:title>Background:<\/jats:title><jats:p>Tuberculous spondylitis (Pott\u2019s disease), a common extrapulmonary manifestation of tuberculosis (TB), typically presents with back pain, tenderness, paraparesis\/paraplegia, and various constitutional symptoms. Due to radiological similarities between Pott\u2019s disease and lung cancer, some lung cancer patients may initially be erroneously diagnosed and treated for TB, allowing for extensive progression of their cancer.<\/jats:p><\/jats:sec><jats:sec id=\"st2\"><jats:title>Case Description:<\/jats:title><jats:p>A 28-year-old male presented with a chronic dry cough, weight loss, and 2 months of increased back pain accompanied by bilateral lower extremity weakness. Magnetic resonance imaging revealed an epidural collection causing compression of the spinal cord at the T5-T6 level. The initial diagnosis was<jats:italic>Mycobacterium tuberculosis<\/jats:italic>\/Pott\u2019s disease. A thoracic T4-T8 decompression fusion was performed; however, pathologic examination of the tissue revealed adenocarcinoma. Postoperatively, after the patient experienced several episodes of acute respiratory distress and a tension pneumothorax, lung imaging confirmed multiple tumor infiltrates along with lung cancer extending into the thoracic vertebrae. Pelvic studies also confirmed the presence of pelvic metastases. The patient passed away 3 weeks following surgery.<\/jats:p><\/jats:sec><jats:sec id=\"st3\"><jats:title>Conclusion:<\/jats:title><jats:p>In this case report, a 28-year-old male was treated for thoracic Pott\u2019s disease that proved to be metastatic lung adenocarcinoma. To avoid such misdiagnoses in the future, physicians should better differentiate spinal TB from other malignancies that may affect the spine. This study underscores the importance of obtaining at least a chest X-ray in any patient with suspected Pott\u2019s disease, irrespective of age, to help rule out lung cancer or other pathologies.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_403_2019","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T10:28:23Z","timestamp":1571480903000},"page":"208","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lung adenocarcinoma presumed to be Pott\u2019s disease in a 28-year-old patient: A case report and review of literature"],"prefix":"10.25259","volume":"10","author":[{"given":"Remi A.","family":"Kessler","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Steinberger","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medical Education, New York University School of Medicine, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Baron","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Caridi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,10,18]]},"reference":[{"key":"10.25259\/SNI_403_2019\/ref-1","doi-asserted-by":"crossref","first-page":"404","DOI":"10.4103\/1947-2714.115775","article-title":"Pott\u2019s spine: Diagnostic imaging modalities and technology advancements","volume":"5","author":"Ansari","year":"2013","journal-title":"N Am J Med Sci"},{"key":"10.25259\/SNI_403_2019\/ref-2","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/01.bsd.0000211250.82823.0f","article-title":"The incidence of multiple level noncontiguous vertebral tuberculosis detected using whole spine MRI","volume":"20","author":"Kaila","year":"2007","journal-title":"J Spinal Disord Tech"},{"key":"10.25259\/SNI_403_2019\/ref-3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3747\/co.v17i1.543","article-title":"Metastatic lung adenocarcinoma in a 20-year-old patient","volume":"17","author":"Khan","year":"2010","journal-title":"Curr Oncol"},{"key":"10.25259\/SNI_403_2019\/ref-4","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/00005792-199909000-00003","article-title":"Spinal tuberculosis in adults. A study of 103 cases in a developed country, 1980-1994","volume":"78","author":"Pertuiset","year":"1999","journal-title":"Medicine (Baltimore)"},{"key":"10.25259\/SNI_403_2019\/ref-5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/1476-0711-8-32","article-title":"A fatal case of spinal tuberculosis mistaken for metastatic lung cancer: Recalling ancient Pott\u2019s disease","volume":"8","author":"Ringshausen","year":"2009","journal-title":"Ann Clin Microbiol Antimicrob"},{"key":"10.25259\/SNI_403_2019\/ref-6","article-title":"U.S. Preventive Services Task Force. 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