Spinal tuberculosis, also known as Pott’s disease is a common extrapulmonary manifestation of tuberculosis. It commonly involves the dorsal spine as paradiscal lesion with destruction of intervening disc with subligamentous spreading of the pus. Non contagious spinal tuberculosis (TB) involving the cervical, dorsal, lumbar and sacral region are very rare. Till now, only 4 cases have been previously reported in the literature. We report a rare case of skipped multifocal spinal TB involving the whole spine of a 23-year-old immunocompetent male patient. He presented with
back pain and walking difficulty for 5 months with some constitutional symptoms. Initial evaluation with plain radiographs showed collapse of D5 vertebrae with localized angulation. Later on, MRI of the dorsal spine with whole spine screening showed multifocal skipped lesion involving whole spine with presence of huge presacral collection. Percutaneous aspiration of the purulent collection done and tuberculous infection confirmed by Gene Xpert. Patient started anti TB therapy and discharged in an improved state both neurologically and in serological parameters.
He was advised to continue medication for a total of 18 months. Multifocal non contagious spinal TB involving the whole spine is rarely reported in the literature, which considered as one of the most atypical presentations of spinal TB. As a differential diagnosis of multifocal lesion of spine, TB should be considered in our context. 

Keywords: Noncontiguous Multisegment; Skip Lesion; Spinal Tuberculosis.