{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:09Z","timestamp":1787169609439,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Tuberculosis (TB) is quite prevalent in developing countries, with an ever-rising incidence of extrapulmonary cases. TB of bones and joints is quite challenging to diagnose. Most spinal TB lesions localize at the thoracic and lumbar levels; cervical lesions are a rarity. Hence, most neck pains are labelled cervical spondylosis as the symptomatology of cervical spine tuberculosis (CTB) remains unclear. A 38-year-old male had long-standing neck pain for six months, not associated with any focal neurological deficit, nausea, vomiting, or blurred vision. After the initial evaluation by local practitioners, the pain was, as usual, attributed to cervical spondylosis and conservatively managed. However, his pain worsened, and he ultimately came to us with altered mental status. In reality, he had CTB, which later complicated to life-threatening disseminated TB with intracranial and pulmonary involvement, and he could only survive after prolonged ICU care. Even mild cervical pain should not be neglected and must undergo proper evaluation. We should consider CTB in the differential diagnosis of chronic neck pain, especially in countries where TB is endemic.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1515_21","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T01:12:59Z","timestamp":1648516379000},"page":"1558-1560","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Life-threatening disseminated tuberculosis masquerading as cervical spondylosis---Case report \u201cCervical TB v\/s Cervical Spondylosis\u201d"],"prefix":"10.4103","volume":"11","author":[{"given":"Mayank","family":"Kapoor","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bindu","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minakshi","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"issue":"(4_suppl)","key":"B1-20240828","doi-asserted-by":"crossref","first-page":"96S","DOI":"10.1177\/2192568218769053","article-title":"Spinal tuberculosis:Current concepts","volume":"8","author":"Rajasekaran","year":"2018","journal-title":"Glob Spine J"},{"key":"B2-20240828","first-page":"1","article-title":"Tuberculosis of the lower cervical spine (C2 to C7). A report on 40 cases","volume":"66","author":"Hsu","year":"1984","journal-title":"J Bone Jt Surg-Ser B"},{"issue":"(1_suppl)","key":"B3-20240828","article-title":"Cervical spine TB \u2013Current concepts in management","volume":"29","author":"Shetty","year":"2021","journal-title":"J Orthop Surg"},{"key":"B4-20240828","first-page":"8","article-title":"Spinal tuberculosis (Pott's disease):Its clinical presentation, surgical management, and outcome","volume":"24","author":"Turgut","year":"2001","journal-title":"A survey study on 694 patients. Neurosurg Rev"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1002\/bjs.18004418508","article-title":"Anterior spinal fusion a preliminary communication on the radical treatment of pott's disease and pott's paraplegia","volume":"44","author":"Hodgson","year":"1956","journal-title":"Br J Surg"},{"key":"B6-20240828","first-page":"499","article-title":"Pott's disease in Kentucky:Diagnosis and treatment","volume":"86","author":"Roy","year":"1988","journal-title":"J Ky Med Assoc"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1515_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:05Z","timestamp":1787166665000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1515_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,18]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1515_21","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,18]]},"assertion":[{"value":"2021-07-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}