Fig. 1.

A 32 year old male recently diagnosed as HIV positive individual with a CD count of 223 cells/mm³ presented with complaints of backpain referred to anterior chest wall. A) Plain radiography shows complete collapse of T8 vertebra with a local kyphotic deformity of 34°. B) MRI shows involvement of T7 and T8 vertebra with paravertebral abscess and C) Sagittal CT demonstrating vertebra plana of T8 with fragmentation of vertebrae in the axial cuts. D) Postoperative imaging of this patient who underwent debridement and posterior stabilization due to unrelenting pain not allowing ambulation. Histopathology was confirmative of Tuberculosis and Gene Xpert analysis revealed Rifampicin resistance. The case was reported and registered under the government RNTCP program andinitiated on second-line drugs. DST results are awaited and the regime will be altered based on it.