A 39-year-old male with upper back pain.
A 39-year-old immigrant from South-East Asia presented with several months of worsening upper back pain. He described night sweats and weight loss put denied any other complaints. On admission, computed tomography scan showed destruction of the 5th thoracic vertebral body with paraspinous soft tissue mass that narrowed the central canal (Figure 1, upper panel). Decompression surgery was done. Surgical samples for culture and histopathological examination were obtained (Figure 1 …