“…Spinal surgery was not indicated in this patient as it is indicated only in selected cases with neurological deficit not improving on anti-tuberculous therapy [5]. Historically, Pott's disease was a common cause of psoas abscess, but recently it became less prevalent except in HIV patients [6].our patient is rare case in being young, with no immunosuppressant illness or medication that present with advanced soft tissue involvement without correlating neurological deficit.…”