Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting

This case report presents a rare instance of chronic rib osteomyelitis in a 23-year-old female from Darchula, an underserved rural area in Nepal. Rib osteomyelitis is uncommon and often diagnosed late due to its subtle presentation. The patient initially presented at a primary care center with a 2-w...

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Main Authors: Bikash Pandey, Pujan Pant, Aayush Bist, Nishant Pandey
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.1177/11795476251333238
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author Bikash Pandey
Pujan Pant
Aayush Bist
Nishant Pandey
author_facet Bikash Pandey
Pujan Pant
Aayush Bist
Nishant Pandey
author_sort Bikash Pandey
collection DOAJ
description This case report presents a rare instance of chronic rib osteomyelitis in a 23-year-old female from Darchula, an underserved rural area in Nepal. Rib osteomyelitis is uncommon and often diagnosed late due to its subtle presentation. The patient initially presented at a primary care center with a 2-week history of a protruding bony mass in the right upper back, accompanied by foul-smelling discharge and low-grade fever. She was referred to a tertiary hospital, where a CT scan, surgical excision, and biopsy confirmed chronic rib osteomyelitis. This case highlights the diagnostic challenges of rare conditions in rural settings and emphasizes the essential role of community-based healthcare in early identification and referral. It underscores the need for accessible diagnostic facilities, community health education, and a multidisciplinary approach to support patients in resource-limited environments.
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spelling doaj-art-e22e9c23347244599028086b6217dbb02025-08-20T02:18:24ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762025-04-011810.1177/11795476251333238Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited SettingBikash Pandey0Pujan Pant1Aayush Bist2Nishant Pandey3Department of Orthopedics, Maya Metro Hospital, Pvt. Ltd, Dhangadhi, Kailali, NepalDepartment of Orthopedics, Maya Metro Hospital, Pvt. Ltd, Dhangadhi, Kailali, NepalDepartment of Orthopedics, Maya Metro Hospital, Pvt. Ltd, Dhangadhi, Kailali, NepalManipal College of Medical Sciences, Pokhara, Gandaki, NepalThis case report presents a rare instance of chronic rib osteomyelitis in a 23-year-old female from Darchula, an underserved rural area in Nepal. Rib osteomyelitis is uncommon and often diagnosed late due to its subtle presentation. The patient initially presented at a primary care center with a 2-week history of a protruding bony mass in the right upper back, accompanied by foul-smelling discharge and low-grade fever. She was referred to a tertiary hospital, where a CT scan, surgical excision, and biopsy confirmed chronic rib osteomyelitis. This case highlights the diagnostic challenges of rare conditions in rural settings and emphasizes the essential role of community-based healthcare in early identification and referral. It underscores the need for accessible diagnostic facilities, community health education, and a multidisciplinary approach to support patients in resource-limited environments.https://doi.org/10.1177/11795476251333238
spellingShingle Bikash Pandey
Pujan Pant
Aayush Bist
Nishant Pandey
Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
Clinical Medicine Insights: Case Reports
title Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
title_full Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
title_fullStr Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
title_full_unstemmed Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
title_short Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting
title_sort chronic rib osteomyelitis in a young adult female diagnostic challenges and implications of a rare case in a resource limited setting
url https://doi.org/10.1177/11795476251333238
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