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Tuberculosis of Distal Radius Presenting as Cystic Lesion in a Nine-Month-Old Infant: A Rare Case Report

Aniruddha Sinha Sarkar1, Anant Kumar Garg2, Abhishek Bandyopadhyay3

  • 1Junior Resident, Department of Orthopaedics, Nil Ratan Sircar Medical College and Hospital , Kolkata, West Bengal, India .

Journal of Clinical and Diagnostic Research : JCDR
|October 30, 2016
PubMed

Insights

Tuberculous osteomyelitis in infants is rare and challenging to diagnose. This case highlights a cystic lesion in a young child

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Skeletal Tuberculosis

Background:

  • Tuberculous osteomyelitis of long bones is uncommon, particularly in infants.
  • Diagnosis can be difficult due to subtle clinical presentations in endemic areas.

Observation:

  • A nine-month-old infant presented with a cystic lesion in the distal radial metaphysis.
  • The infant was from a tuberculosis-endemic region.

Findings:

  • Surgical intervention (biopsy and curettage) followed by synthetic bone substitute implantation was performed.
  • Histopathology confirmed tuberculosis with acid-fast bacilli.
  • Anti-tubercular drug therapy led to significant clinical and radiological recovery.

Implications:

  • Highlights the importance of considering tuberculosis in the differential diagnosis of pediatric bone lesions.
  • Emphasizes the need for early diagnosis and appropriate treatment of skeletal tuberculosis in infants.
  • Suggests a multidisciplinary approach for managing rare pediatric bone infections.

Keywords:
Bone substitutesOsteoarticularOsteomyelitis

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