In this article, we report an 18-year-old male patient with extrapulmonary paravertebral hydatid cysts with coexisting costovertebral tuberculosis. During the recent years the patient underwent multiple surgical interventions due to recurrent paravertebral abscess in the thoracic region, which resulted in mass effect at the spinal cord and palsy with urinary disorders. The cause of the abscess turned to be coexistent extrapulmonary tuberculosis and hydatid disease. This case emphasizes the importance of considering the coexistence of echinococcosis and tuberculosis in endemic areas.
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