Spinal intramedullary tuberculomas (SIMT) are rare. They are usually secondary to hematogenous dissemination. It is unusual for SIMT to present predominantly as chronic backache to the rheumatologist.
A 22-year-old woman presented with a history of insidious-onset, progressive, dull, low backache of 8-month duration. It was worse at night and poorly responsive to nonsteroidal antiinflammatory drugs. Radiographs of the thoracolumbar spine and pelvis were unrevealing. She had developed …