Abstract

 
 
 
 Bone tuberculosis in infancy has become rare these days. Here we report a case of 12 months old male infant who had presented with complaints of fever and skin rash for one month, along with protuberance of toe joint for 15 days. He was being treated with antibiotics, vitamin D and calcium without improvement. Further investigations led to mycobacterium positivity in bone biopsy. He was treated with anti-tubercular therapy and he responded to the treatment dramatically. So, though rare, it is important to consider bone tuberculosis when there are bony issues even in infancy, especially in endemic regions like ours.
 
 
 
Highlights
Bone tuberculosis is not common in paediatric population
Potts spine or the tuberculosis of spine were frequently reported in earlier days but these diseases have started becoming rarer at present.[4]
The clinical features of bone tuberculosis in infants are often subtle as compared to older children and may go unnoticed by the caregivers.[9]
Summary
Bone tuberculosis is not common in paediatric population. A 12 months old male infant from Pokhara, Nepal, presented with complaints of fever for one month along with papular, round skin rash for one month (Figure 1), and protuberance of toe joint for 15 days (Figure 2). He was first treated with oral amoxicillin and paracetamol for three days and simultaneously the blood investigations were sent for workup. X-ray right toe joint showed disproportionately enlarged first phalanx ( Figure 4). There was no subjective complaint and patient is fully cured and is under our regular follow up
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