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A and B: MRI C and T spine with intramedullary lesions.
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A Magnetic Resonance Image (MRI) of the spine demonstrated multiple enhancing intramedullary lesions spanning from the cervical to the lower thoracic spine (Fig. 1A and B).
GMS and Fite stain of biopsy specimens showing long gram positive bacilli.
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Histopathological examination showed innumerable long gram-positive bacilli (Fig. 2) with necrotizing granulomatous inflammation.