A 25-year-old male with known case of disseminated tuberculosis (TB), hepatitis C, and human immunodeficiency virus (HIV) presented with a progressive paraparesis and loss of sphincter control (T8 level) of 2 months duration. He had already been on antitubercular therapy for the prior 8 months and had been taking antiretroviral therapy medication for HIV since 2018, although on an irregular basis.