Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection
Skeletal tuberculosis (TB) is a type of extrapulmonary TB affecting bony structures. Surprisingly, rib involvement is rare, comprising only 0%–5% of bone TB cases. Multifocal tuberculous osteomyelitis of the rib is a very rare condition, affecting only 0.1% of individuals with TB. We present here th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Association of Pulmonologist of Tamil Nadu |
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| Online Access: | https://journals.lww.com/10.4103/japt.japt_20_24 |
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| author | Venkatesh Elumalai K. Krishnamoorthy T. Joseph Pratheeban E. Mathan O. M. Rahman Shahul Hameed |
| author_facet | Venkatesh Elumalai K. Krishnamoorthy T. Joseph Pratheeban E. Mathan O. M. Rahman Shahul Hameed |
| author_sort | Venkatesh Elumalai |
| collection | DOAJ |
| description | Skeletal tuberculosis (TB) is a type of extrapulmonary TB affecting bony structures. Surprisingly, rib involvement is rare, comprising only 0%–5% of bone TB cases. Multifocal tuberculous osteomyelitis of the rib is a very rare condition, affecting only 0.1% of individuals with TB. We present here the case of a 28-year-old male who is an accountant in a travel agency with no comorbidities presented with complaints of cough with expectoration and swelling over the left posterolateral chest wall for 3 months’ duration. Imaging by computed tomography and magnetic resonance imaging of the chest showed features of multifocal tuberculous osteomyelitis of ribs with active pulmonary TB. Pus was aspirated from chest wall swelling detected mycobacterium TB in Catridge based nucleic acid amplification test, and the patient was started on antitubercular therapy. This case emphasizes skeletal TB, despite being the prevalent form of extrapulmonary TB, and presents an intriguing aspect with rib involvement remaining a relatively rare phenomenon. |
| format | Article |
| id | doaj-art-c128b20a22e1421b9993cf14c10d46f0 |
| institution | Kabale University |
| issn | 2772-6355 2772-6363 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Association of Pulmonologist of Tamil Nadu |
| spelling | doaj-art-c128b20a22e1421b9993cf14c10d46f02025-02-11T10:16:19ZengWolters Kluwer Medknow PublicationsJournal of Association of Pulmonologist of Tamil Nadu2772-63552772-63632025-01-0181262810.4103/japt.japt_20_24Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary InfectionVenkatesh ElumalaiK. KrishnamoorthyT. Joseph PratheebanE. MathanO. M. Rahman Shahul HameedSkeletal tuberculosis (TB) is a type of extrapulmonary TB affecting bony structures. Surprisingly, rib involvement is rare, comprising only 0%–5% of bone TB cases. Multifocal tuberculous osteomyelitis of the rib is a very rare condition, affecting only 0.1% of individuals with TB. We present here the case of a 28-year-old male who is an accountant in a travel agency with no comorbidities presented with complaints of cough with expectoration and swelling over the left posterolateral chest wall for 3 months’ duration. Imaging by computed tomography and magnetic resonance imaging of the chest showed features of multifocal tuberculous osteomyelitis of ribs with active pulmonary TB. Pus was aspirated from chest wall swelling detected mycobacterium TB in Catridge based nucleic acid amplification test, and the patient was started on antitubercular therapy. This case emphasizes skeletal TB, despite being the prevalent form of extrapulmonary TB, and presents an intriguing aspect with rib involvement remaining a relatively rare phenomenon.https://journals.lww.com/10.4103/japt.japt_20_24antitubercular therapymultifocal tubercular osteomyelitisskeletal tuberculosis |
| spellingShingle | Venkatesh Elumalai K. Krishnamoorthy T. Joseph Pratheeban E. Mathan O. M. Rahman Shahul Hameed Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection Journal of Association of Pulmonologist of Tamil Nadu antitubercular therapy multifocal tubercular osteomyelitis skeletal tuberculosis |
| title | Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection |
| title_full | Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection |
| title_fullStr | Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection |
| title_full_unstemmed | Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection |
| title_short | Multifocal Tuberculous Osteomyelitis of Ribs with Active Pulmonary Infection |
| title_sort | multifocal tuberculous osteomyelitis of ribs with active pulmonary infection |
| topic | antitubercular therapy multifocal tubercular osteomyelitis skeletal tuberculosis |
| url | https://journals.lww.com/10.4103/japt.japt_20_24 |
| work_keys_str_mv | AT venkateshelumalai multifocaltuberculousosteomyelitisofribswithactivepulmonaryinfection AT kkrishnamoorthy multifocaltuberculousosteomyelitisofribswithactivepulmonaryinfection AT tjosephpratheeban multifocaltuberculousosteomyelitisofribswithactivepulmonaryinfection AT emathan multifocaltuberculousosteomyelitisofribswithactivepulmonaryinfection AT omrahmanshahulhameed multifocaltuberculousosteomyelitisofribswithactivepulmonaryinfection |