title: Multifocal tuberculous osteomyelitis: A rare presentation.
abstract: A 29 year old lady presented with vague right lower quadrant abdomen and thigh pain for the past 4 years. X-ray pelvis with both hips was remarkably normal, and MRI was suggestive of osteomyelitis in right ilium and proximal femur. Biopsy confirmed the lesion as tubercular. Isolated bone involvement by tuberculosis without a joint or pulmonary involvement is extremely rare in immunocompetent patients and has not been reported in literature so for. Tuberculosis should be suspected in patients presenting with multiple bone lesions, especially in endemic areas. Prompt surgical drainage and ATT forms the mainstay of treatment.
authors: Associate Professor, Department of Orthopaedics, PSGIMS & R, Coimbatore, Tamilnadu 641004, India. Electronic address: prasannapgi@gmail.com.
authors: Prasanna
authors: P
authors: Chandiralingam
authors: Professor, Department of Orthopaedics, PSGIMS & R, Coimbatore, Tamilnadu 641004, India.
authors: S M
authors: SM
authors: Arvind Kumar
authors: Junior Resident, Department of Orthopaedics, PSGIMS & R, Coimbatore, Tamilnadu 641004, India.
authors: S
authors: S
authors: Krishna Kumar
authors: Junior Resident, Department of Orthopaedics, PSGIMS & R, Coimbatore, Tamilnadu 641004, India.
authors: S
authors: S
authors: Kailash
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage*; D001706:Biopsy; D004322:Drainage / Q000379:methods*; D005260:Female; D005269:Femur / Q000473:pathology / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy
chemical_list: D000995:Antitubercular Agents
keywords: Biopsy; Multifocal osteomyelitis; Tuberculosis