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Tuberculosis (TB) of the skeletal system constitutes only 1-3% of extrapulmonary TB and usually involves the thoracic spine. These patients usually present with malaise, weight loss, night sweats, muscle spasms, paraspinal swellings or neurological deficits. We report a case of tuberculosis of the spine, which had an unusual presentation only as a painless neck swelling, without any neurological complications. The patient did not respond well to antitubercular therapy (ATT), necessitatingdoi:10.1016/j.ejenta.2013.12.004 fatcat:ydpejducuvgo3k5nvhgvxv2b24