Open AccessTubercular Osteomyelitis of Tibia: A Case Report
Author(s) -
Amin Kumar Shrestha,
Suman Raja Shrestha,
Gopesh Kumar Thakur,
Arjun Prasad Dumre
Publication year - 2019
Publication title -
nepal medical journal
Language(s) - English
Resource type - Journals
eISSN - 2645-8438
pISSN - 2645-842X
DOI - 10.37080/nmj.27
Subject(s) - osteomyelitis , medicine , curettage , differential diagnosis , tuberculosis , lesion , surgery , tibia , biopsy , radiology , pathology
Tubercular osteomyelitis of long bone is extremely rare and very few cases have been reported in literature. We are presenting a case of 43 years gentlemen presented with pain and swelling over lower half of leg for 5 months. There was associated pus discharging sinus and often low-grade fever but no history of weight loss or pulmonary symptoms. X-ray chest was normal. X-rays of involved leg was suggestive of osteomyelitis. Curettage and Biopsy was done, report was suggestive of tuberculous osteomyelitis. As tuberculosis is still common in developing countries like Nepal, for any osteolytic lesion in bone, tubercular osteomyelitis should always be considered in differential diagnosis.
Keywords: extrapulmonary tuberculosis; osteolytic lesion in bone; tubercular osteomyelitis.