Tuberculosis of the right distal fibula bone case repot: An unusual T.B. case

A 26-year-old Asian female was referred to on-call trauma services with 2 weeks history of swelling and pain of her right ankle. On laboratory evaluation, she only had an elevated CRP. Ankle roentgenogram showed a lytic lesion of the distal fibula bone with soft tissue swelling. Chest roentgenogram was abnormal along with clinical findings. Bacteriological report from right ankle specimen isolated Acid Fast Bacilli. Histological examination of the biopsy tissue showed granuloma and caseating necrosis of tuberculosis. She had incision and radical debridement of abscess and received anti-tuberculous therapy. During her follow-up in clinic, no residual or recurrent disease was established.