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Aitor Karanka's side showed excellent character to rescue a point from a precarious position at St Andrew's, Patrick Bamford scoring the equaliser 16 minutes from time.
Middlesbrough goalkeeper Dimitrios Konstantopoulos was the man sent off after bringing down Clayton Donaldson in the 43rd minute.
Substitute keeper Tomas Mejias could not keep out the resultant penalty, scored by Paul Caddis, as Birmingham headed to the break on a high just one day after the club's owners went into receivership.
In Wednesday's other match, Bradford City continued their play-off push with a 2-0 win at struggling Leyton Orient in League One.
