EJMCR |

Case Report

Volume: 8 | Issue: 4 | Published: May 11, 2024 | Pages: 72 - 76 | DOI: 10.24911/ejmcr.173-1711669564

Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.

Authors: Abdulaziz Aldrwesh , Abdullah Badahdah , Dalal Albaiji

Article Info

Authors

Abdulaziz Aldrwesh

Orthopedics resident, King Fahad Specialist Hospital, Dammam, Saudi Arabia

Abdullah Badahdah

Orthopedics department, King Fahad Specialist Hospital, Dammam Saudi Arabia

Dalal Albaiji

Medical Intern, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Publication History

Received: April 01, 2024

Accepted: April 28, 2024

Published: May 11, 2024

Abstract

Background: Tuberculosis (TB) is a challenging disease; however, it is preventable and curable in most cases. In 2022, TB was the second most common single infection leading to death worldwide after coronavirus disease. Almost 10 million people get infected with TB every year. TB manifests clinically in two types: pulmonary and extrapulmonary; the pulmonary type is the most common. Case presentation: A 17-month-old medically free male infant was referred to our institution with right distal leg pain, swelling and skin changes, started 1 month ago. Since then, both pain and swelling worsened and led to limping. The father denied any history of recent trauma, fever, cough, night sweating, infections, contact with sick patients, skin rashes in other body parts, or any other systematic changes. The baby was delivered at full term by cesarian-section due to placenta previa, with a birth weight of 3500 g, Prenatal and postnatal history is unremarkable. The patient was vitally stable and appeared healthy with no dysmorphic features. He was able to bear weight on his feet; however, his gait and walking abilities could not be assessed. Local examination showed swelling, erythema, and tenderness over the right distal tibia with an intact range of motion. The patient was admitted and initial investigations were done for him. After close observation and multiple investigations, a diagnosis of TB-induced right tibial osteomyelitis was made, and first-line management was initiated. Conclusion: This report highlights the importance of orthopedic surgeons in considering TB-induced osteomyelitis in the differential diagnosis of vague musculoskeletal symptoms.

Keywords: Case report, Extra-pulmonary Tuberculosis, Osteomyelitis, Tibia, green

Pubmed Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji. Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.. EJMCR. 2024; 11 (May 2024): 72-76. doi:10.24911/ejmcr.173-1711669564

Web Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji. Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.. https://ejmcr.com/articles/1244 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1711669564

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji. Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.. EJMCR. (2024), [cited December 25, 2024]; 11 (May 2024): 72-76. doi:10.24911/ejmcr.173-1711669564

Harvard Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji (2024) Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.. EJMCR, 11 (May 2024): 72-76. doi:10.24911/ejmcr.173-1711669564

Chicago Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji. "Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.." 11 (2024), 72-76. doi:10.24911/ejmcr.173-1711669564

MLA (The Modern Language Association) Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji. "Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.." 11.May 2024 (2024), 72-76. Print. doi:10.24911/ejmcr.173-1711669564

APA (American Psychological Association) Style

Abdulaziz Aldrwesh, Abdullah Badahdah, Dalal Albaiji (2024) Tuberculosis-induced osteomyelitis of the right distal tibia in a healthy male, a Saudi infant.. , 11 (May 2024), 72-76. doi:10.24911/ejmcr.173-1711669564