Multifocal Osteolytic tuberculosis - Uncommon presentation of common disease
Tuberculosis is one of the most prevalent bacterial infection in developing country like india and it is capable of affecting almost every system in the human body. Multifocal skeletal tuberculosis is a rare condition. We report a 22-year old immunocompetent female history of backache and sterna...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2018-08-01
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| Series: | Perspectives In Medical Research |
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| Online Access: | http://www.pimr.org.in/majid-vol-6-issue-2-2018.PDF |
| Summary: | Tuberculosis is one of the most prevalent bacterial
infection in developing country like india and it is capable of
affecting almost every system in the human body. Multifocal
skeletal tuberculosis is a rare condition. We report a 22-year
old immunocompetent female history of backache and sternal
pain for three months, associated with progressive weight loss
with no fever. Computed Tomography (CT) scanning
demonstrated hypodense multifocal osteolytic lesions of the
thoracic spine (T12) and the manubrum sternii. CT guided fine
needle aspiration cytology (FNAC) performed from both
osteolytic lesions. Cytology smears from both lesions show
many granulomas and few giant cells. Z-N stain for AFB was
positive. Patient treated with anti-tuberculus drugs and
responded well. This case reported for its rarity, unusual
radiological findings & to emphasize the role of CT/CT guided
FNAC in osteolytic lesions and also to stress the need for high
index of suspicion in tuberculosis endemic areas to avoid
delayed diagnosis in such uncommon presentation of common
disease. |
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| ISSN: | 2348-1447 2348-229X |