{
  "abstract": "This case describes a woman in her 30s presenting with a 2 month history of thoracic pain, initially suspected to be costochondritis. The pain was unresponsive to conservative management, and imaging revealed a paravertebral mass at the T6–T7 level. The differential diagnosis included malignancy, sarcoma and tuberculosis (TB). A positive QuantiFERON-TB Gold test suggested TB exposure, before a biopsy subsequently confirmed spinal TB. She was started on quadruple anti-tuberculosis therapy and showed significant clinical improvement. This case emphasises the importance of considering TB in the differential diagnosis of costochondritis, particularly in recalcitrant cases.",
  "authors": [
    {
      "affiliations": [
        "Sport and Exercise Medicine, Homerton University Hospital NHS Foundation Trust, London, UK"
      ],
      "name": "Raj Amarnani"
    },
    {
      "affiliations": [
        "Respiratory Medicine, The Physician’s Clinic, London, UK"
      ],
      "name": "Howard Branley"
    },
    {
      "affiliations": [
        "Sport and Exercise Medicine, The London Clinic, London, UK"
      ],
      "name": "Robin Chatterjee"
    }
  ],
  "title": "Atypical chest wall pain: paravertebral tuberculosis mimicking costochondritis",
  "uid": "997e9c77-a61c-5689-9802-4ef18e89dcf7"
}