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Multifocal tubercular osteomyelitis: a case with atypical manifestations
Mukesh Thawani1, Elizabeth Hale, Eyassu Habte-Gabr
1Department of Internal Medicine, Hurley Medical Center, 2 Hurley Plaza, Suite 212, Flint, MI 48503, USA.
Tuberculosis Research and Treatment
|May 9, 2012
Summary
Skeletal tuberculosis, a rare form of the disease, can affect bones without lung involvement. This case highlights multifocal tubercular osteomyelitis in a young male presenting with severe back pain and systemic symptoms.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Skeletal tuberculosis (TB) comprises 1-2% of all TB cases and 10% of extrapulmonary TB.
- Osteomyelitis, a bone infection, can be caused by various pathogens, including Mycobacterium tuberculosis.
Observation:
- A 19-year-old male presented with progressive back pain, weight loss, fatigue, anorexia, reduced mobility, low-grade fever, and night sweats.
- Diagnostic workup revealed multifocal tubercular osteomyelitis.
- Crucially, the patient exhibited no signs of pulmonary tuberculosis.
Findings:
- The case demonstrates a rare presentation of skeletal TB.
- Multifocal osteomyelitis indicates widespread bone infection.
- Absence of pulmonary involvement complicates initial diagnosis.
Implications:
- This case underscores the importance of considering skeletal TB in patients with unexplained bone pain and systemic symptoms, even without pulmonary disease.
- Early and accurate diagnosis is crucial for effective management and preventing long-term morbidity.
- Highlights the diagnostic challenges posed by extrapulmonary TB presentations.
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