Vertebral B-cell lymphoma mimicking a Pott's disease in a man aged 63 years coming back from Tunisia

Description

We report the case of a man aged 63 years, a native from Tunisia, whose medical history was marked by diabetes treated with insulin (complicated with inferior limbs polyneuropathy), an ischaemic heart disease, a peripheral arterial disease and a smoking-related chronic obstructive pulmonary disease. His mother might have had pulmonary tuberculosis. He was retired since 2 years and shared his life between Tunisia and France. He had mechanical back pain since several years, but since 3 months, his back pain awakened him at night and was accompanied with loss of weight and anorexia. There was no fever or night sweats. In Tunisia, he underwent a CT scan showing a retroperitoneal mass infiltrating the left psoas and the left renal artery close to the aorta with the erosion of the L2 cortical and spondylitis (figure 1A, B). There was also regional necrotic lymphadenopathy. The patient decided to return...

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