Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada

As Canada experiences and prepares for notable increases in immigration, health care professionals need to be aware of emerging cases low incidence diseases, particularly when found higher rates the foreign-born population. Therefore, we report case a 20-year-old male immigrant presenting Canadian emergency department with one year history worsening back pain. In department, thoracic radiographs showed pathologic fractures at T10 T11 destructive changes from T8 T12. Further, computed tomography scan identified large paravertebral abscess T6 L1, osseous destruction spinal stenosis. Magnetic resonance imaging bony deformity, epidural, pre- paravertebral, bilateral psoas abscesses, right-sided pleural effusion. Diagnosis was confirmed direct molecular testing treatment initiated timely efficacious manner. This highlights providers have high index suspicion consideration atypical presentations within burgeoning population, ensure quality services are delivered.