Tuberculous pseudotumor of the proximal end of the fibula. A case report.
A 72-year-old asian woman who had immigrated from Vietnam 10 years ago presented with a soft tissue mass around the proximal fibula. Conventional radiographs and magnetic resonance imaging demonstrated a destructive lesion of the head of the fibula with an intact superior tibiofibular joint and an abscess surrounding the destroyed bone. Histopathology obtained by a CT-guided needle biopsy revealed necrotizing epithelioid granulomata without demonstrating acid-fast bacilli. However, culture grew Mycobacterium tuberculosis. When tuberculosis affects the end of a long tubular bone, the adjacent synovial joint is usually involved. Cases where joint involvement does not occur are extremely rare and unusual. We report such a case.
Abdelwahab
Ibrahim Fikry
IF
Department of Radiology, New York Methodist Hospital, 506 Sixth Street, Brooklyn, New York 11215, USA.
Poplaw
Steven
S
Abdul-Quader
Mohammed
M
Naran
Deepak
D
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D005360:Fibula / Q000382:microbiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents