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CASE REPORT
Year : 2021  |  Volume : 13  |  Issue : 2  |  Page : 155-157

Tuberculous osteomyelitis of proximal fibula: An unusual presentation of tuberculosis


Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Asjad Mahmood
Hostel 17, Room 501, Masjid Moth AIIMS Hostel, Gautam Nagar, New Delhi - 110 049
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_67_20

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Tubercular involvement of the proximal fibula is very rare. We present a case of tuberculosis of proximal fibula in an immunocompetent young female. She was diagnosed clinically as a case of cellulitis. Radiological investigations including magnetic resonance imaging revealed a destructive lesion in her right proximal fibula. Finally, by fine-needle aspiration cytology and GeneXpert polymerase chain reaction, a diagnosis of tuberculous osteomyelitis of proximal fibula was established. She was managed nonoperatively with multidrug antitubercular chemotherapy. A high index of suspicion is required to make a diagnosis of musculoskeletal tuberculosis of such rare site in early stages.


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