Summary: Spinal intramedullary tubercular abscess is an extremely rare entity. Only few cases are reported in literature. A Nine-year-old girl presented with pain in gluteal region and progressive paraparesis. Her chest-X-ray revealed a primary focus suggesting pulmonary Koch's & MRI lumbosacral spine showed a ring enhancing hypointese lesion in T_1W and hyperintense in T_2w at L_2 to L_3 suggestive of epidermoid or tubercular abscess, which was confirmed at operation and subsequently by AFB staining and culture. Mycobacterium tuberculosis was seen in both staining and culture of pus. Patient improved after 2 months of ATT.
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机译：简介：脊髓髓内结核脓肿是极为罕见的实体。文献报道只有少数病例。一名9岁女孩在臀区疼痛和进行性轻瘫的表现。她的X线胸片显示主要病灶，提示肺部Koch氏和MRI腰s部脊柱在L_1至L_3处的T_1W和T_2w处的高尖锐肌病灶呈环形增强，提示表皮样或结核性脓肿，这在手术中及随后经AFB染色证实和文化。在脓液的染色和培养中均见到结核分枝杆菌。 ATT 2个月后患者好转。
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