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Tubercular Osteomyelitis of Bilateral Acromion Process: A Case Report

INTRODUCTION: Tuberculosis is one of the well-known diseases with significant morbidity and financial burden on the society and health care. Tubercular osteomyelitis constitutes about 10–11% of all extra-pulmonary tuberculosis cases. Disease is believed to be a great imposter, as disease may present...

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Detalles Bibliográficos
Autores principales: Khera, Ruchit, Agrawal, Atul, Chauhan, Vijendra Devisingh, Siddiqui, Faiz Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983417/
https://www.ncbi.nlm.nih.gov/pubmed/36873323
http://dx.doi.org/10.13107/jocr.2022.v12.i09.3322
Descripción
Sumario:INTRODUCTION: Tuberculosis is one of the well-known diseases with significant morbidity and financial burden on the society and health care. Tubercular osteomyelitis constitutes about 10–11% of all extra-pulmonary tuberculosis cases. Disease is believed to be a great imposter, as disease may present in varied forms and/or in atypical sites, making it prone to be missed or misdiagnosed. CASE REPORT: We report a case of tuberculosis of bilateral acromion process in a 53-year-old female who was managed elsewhere for 18 months with physiotherapy. The patient presentation, diagnostic approach, and management along with follow have been discussed in details. CONCLUSION: We conclude that tuberculosis could affect any bone of the body and may have unusual presentation. Deferential diagnosis of tubercular osteomyelitis/arthritis should always be kept as a differential and ruled out. Histopathological diagnosis is still a gold standard for confirmation of the same.