| This
patient with tuberculosis of the spine and a visible abscess, slightly
discoloring the overlaying skin, on
the lower left back almost escaped a correct diagnosis but for an astute
laboratory technician. The abscess was warm to the touch and a Gram
stain showed Gram-positive cocci. Nevertheless, the laboratory
technician insisted on rigorous examination for acid-fast bacilli and
found them, confirming tuberculosis of the spine with a
super-infected abscess.
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