Primary diaphyseal tuberculosis of the tibia.
Tuberculous osteomyelitis involving primarily the diaphysis without articular involvement is very rare. Pain and swelling are the common presenting symptoms. The nonspecific nature of the symptoms leads to a delay in the diagnosis. Radiographs may mimic pyogenic osteomyelitis, Brodie's abscess, tumours or granulomatous lesions. Curettage of the lesion and the histopathological examination of the material obtained are necessary for confirmation of the diagnosis and offer a chance for early healing. We report the successful diagnosis and management of a rare case in a 28-year-old man of Indian origin afflicted with primary diaphyseal tuberculosis of the left tibia.
Chattopadhyay
P
P
Department of Medicine, Nil Ratan Sircar Medical College and Hospital, 138 AJC Bose Road, Kolkata 700014, West Bengal, India. drpartha73@gmail.com
Bandyopadhyay
A
A
Ghosh
S
S
Kundu
A J
AJ
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D003287:Contrast Media / Q000494:pharmacology; D006099:Granuloma / Q000473:pathology; D006801:Humans; D007866:Leg / Q000473:pathology; D008297:Male; D010146:Pain; D013977:Tibia / Q000000981:diagnostic imaging* / Q000382:microbiology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000188:drug therapy
D003287:Contrast Media