Abstract
35 year old Indian male presented with 3 months history of productive cough, low grade fever, weight loss, night sweats and joint pain. On examination patient was febrile and emaciated. He had swelling and tenderness in bilateral midfoot region and right knee. Chest examination revealed crackles in bilateral lung apex and left lung base. His investigation showed elevated acute phase reactants, sputum sample for Acid Fast Bacilli (AFB) was positive.
Highlights
C finding in right knee (Figure 1C)
Multifocal tuberculous osteomyelitis is known as osteitis cystica tuberculosa multiplex
Multiple sites of involvement are usually seen in children, while in adults, involvement is more often confined to a single bone
Summary
Patient underwent biopsy from left midfoot, which grew mycobacterium tuberculosis. Tubercular osteomyelitis, an uncommon form of extrapulmonary tuberculosis (TB), accounts for 1% to 2% of all cases of TB and 10% of all cases of extrapulmonary TB [1].
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