Tuberculosis of Distal Radius Presenting as Cystic Lesion in a Nine-Month-Old Infant: A Rare Case Report

Tuberculous osteomyelitis affecting long bones is a rare form of tuberculosis. Among infants born in endemic region, often it is difficult to diagnose owing to its subtle clinical features. Here, a case of tuberculous osteomyelitis affecting the distal radial metaphysis is reported, presenting as a...

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Bibliographic Details
Published in:Journal of clinical and diagnostic research 2016-09, Vol.10 (9), p.RD06-RD07
Main Authors: Sarkar, Aniruddha Sinha, Garg, Anant Kumar, Bandyopadhyay, Abhishek, Kumar, Sanjay, Pal, Sumanta
Format: Article
Language:English
Subjects:
bone substitutes
Orthopaedics Section
osteoarticular
osteomyelitis
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Summary:Tuberculous osteomyelitis affecting long bones is a rare form of tuberculosis. Among infants born in endemic region, often it is difficult to diagnose owing to its subtle clinical features. Here, a case of tuberculous osteomyelitis affecting the distal radial metaphysis is reported, presenting as a cystic lesion in a nine-month-old male infant. Open biopsy with curettage was performed followed by filling of the cavity with synthetic bone substitute (beta tricalcium phosphate granules). The diagnosis was confirmed by histopathological examination and demonstration of acid fast bacilli. Further treatment with anti-tubercular drugs led to clinical and radiological improvement. This case report highlights the importance of keeping tuberculosis as a differential diagnosis while dealing with cases with similar presentation in an endemic region.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2016/19916.8564