Navigating the Complexities in Tuberculosis Management: A Case of Transverse Myelitis Masquerade

This case report underscores the intricate nature of diagnosing and treating neurological complications linked with tuberculosis (TB). Initially, a senior male with chronic obstructive pulmonary disease (COPD) was treated for lobar pneumonia, yet failed to show improvement. Further assessment revealed bilateral lower limb weakness and sensory disruptions post Anti Tubercular Therapy (ATT) initiation, suggestive of acute transverse myelitis (ATM). Prompt administration of corticosteroids alongside ATT led to substantial clinical amelioration, despite inconclusive radiological evidence. The case highlights the necessity of considering TB in unconventional neurological presentations, timely initiation of suitable therapy, and the potential benefits of a collaborative approach in enhancing patient outcomes.