Tubercular Osteomyelitis of Tibia: A Case Report

Amin Kumar Shrestha; Suman Raja Shrestha; Gopesh Kumar Thakur; Arjun Prasad Dumre

Amin Kumar Shrestha Department of Orthopedics and Trauma Surgery, Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.
Suman Raja Shrestha Department of Orthopedics and Trauma Surgery, Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.
Gopesh Kumar Thakur 1Department of Orthopedics and Trauma Surgery, Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.
Arjun Prasad Dumre Department of Orthopedics and Trauma Surgery, Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.

Abstract

Tubercular osteomyelitis of long bone is extremely rare and very few cases have been reported in literature. We are presenting a case of 43 years gentlemen presented with pain and swelling over lower half of leg for 5 months. There was associated pus discharging sinus and often low-grade fever but no history of weight loss or pulmonary symptoms. X-ray chest was normal. X-rays of involved leg was suggestive of osteomyelitis. Curettage and Biopsy was done, report was suggestive of tuberculous osteomyelitis. As tuberculosis is still common in developing countries like Nepal, for any osteolytic lesion in bone, tubercular osteomyelitis should always be considered in differential diagnosis.

Keywords: extrapulmonary tuberculosis; osteolytic lesion in bone; tubercular osteomyelitis.