Tuberculous osteomyelitis

Case contributed by RMH Core Conditions

Presentation

Thigh pain.

Patient Data

Age: 33
Gender: Female
Modality: X-ray

Within the proximal metadiaphysis of the right femur, located eccentrically within the cortex is a lytic lesion measuring 2.7 cm with a central sclerotic focus. There is a permeative appearance to the lesion with a broad zone of transition as well as aggressive periosteal reaction. No definite soft tissue component is identified.

Modality: CT

 

Anterior femoral osteomyelitis, involucrum 1.8 x 2.8 in coronal, sequestrum centrally, with sinuses to deep aspect of overlying vastus intermedius.

 

Case Discussion

The patient went onto biopsy and tuberculosis was confirmed as the cause. 

A "sequestrum" is a floating piece of bone secondary to necrosis and resorption of surrounding bone. The "involucrum" is the periosteal new bone formation surrounding the sequestrum. 

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Case Information

rID: 33631
Case created: 19th Jan 2015
Last edited: 19th Apr 2017
Inclusion in quiz mode: Included

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