Discussion
In our case we match between the clinical sense and image results so we
came with a preliminary diagnosis that was infection and we came with a
final diagnosis of myelitis rather than discitis alone because the later
couldn’t explain the weakness unless it was complicated by abscess which
is easy to be detected by MRI .On the other hand myelitis may not need
high quality MRI to be shown. Despite the report of MRI which came as
Discitis at the level D8 and D9,but this does not explain the
paraparesis with sensory level at D7 and urine rention. So considering
discitits is going more with infectious causes so we consider TB as a
common problem in Sudan particularly in the Eastern states (the origin
of our patient).we made a clinical diagnosis of TB myelitis and manage
initially with iv methyl prednisolone according to evidence
based.[3]