title: Multifocal Tubercular Osteomyelitis with Tubercular Breast Abscess: An Atypical Presentation of Tuberculosis.
abstract: Tuberculosis of spine is common in a developing country like India. However, involvement of spine at multiple levels along with involvement of rib and tubercular breast abscess in an immunocompetent patient without any pulmonary involvement is extremely rare. Here we report a case of 53-year-old immunocompetent lady who presented with quadriparesis and MRI (magnetic resonance imaging) of spine revealed multiple lesions involving cervical, thoracic, lumbar, and sacral region without any involvement of intervertebral disc. On detailed examination she was found to have a lump in right breast. Fine needle aspiration cytology of both paravertebral collection and breast lump revealed presence of acid fast bacilli. She was put on antitubercular drug for one year and she responded well to therapy.
authors.affiliation: Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India.
authors.forename: Mita
authors.initials: M
authors.lastname: Bar
authors.affiliation: Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India.
authors.forename: Tuhin
authors.initials: T
authors.lastname: Santra
authors.affiliation: Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India.
authors.forename: Pradipta
authors.initials: P
authors.lastname: Guha
authors.affiliation: Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India.
authors.forename: Neha
authors.initials: N
authors.lastname: Agrawal
authors.affiliation: Department of Medicine, North Bengal Medical College & Hospital, Sushrutanagar, India.
authors.forename: Apu
authors.initials: A
authors.lastname: Adhikary
authors.affiliation: Department of Medicine, Canning Subdivisional Hospital, Canning, India.
authors.forename: Anirban
authors.initials: A
authors.lastname: Das
authors.affiliation: Department of Medicine, KIMS Medical College & Hospital, Amalapuram, India.
authors.forename: Chanchal
authors.initials: C
authors.lastname: Mahapatra