Spontaneous fracture of the ulna complicating tuberculous osteomyelitis

We report a 94-year-old patient with a fractured radius that was being managed conservatively. At 2 months, an abscess was observed overlying the fracture site. An MRI scan was done and samples obtained for microbiological and pathological analyses. The patient was diagnosed with tuberculous osteomyelitis. Surgical debridement of the fracture site was performed, and the bone defect was filled with bone cement impregnated with gentamicin and rifampicin. Anti-tuberculosis therapy was administered for 9 months and the patient made an uneventful recovery. Early diagnosis and correct medical treatment depend on sound evidence of tuberculous osteomyelitis. Surgical debridement is essential if abscesses are present in the bone. Level of Evidence: Level V (Therapeutic)

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Spontaneous atraumatic fracture of a cervical vertebra in tuberculosis: a case report

Gupta

Patra

Parihar

2012

J Med Case Reports

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IntroductionSpontaneous pathological fractures of the cervical spine due to tuberculosis are rare. But with escalating incidences of atypical presentations of tubercular disease, clinicians should exercise a high index of suspicion for early diagnosis of such cases.Case presentationWe present a case of a 50-year-old Hindu man from northern India, who complained of pain and stiffness in his neck. His radiographs showed a fracture in his second cervical vertebral body. But further investigations raised the suspicion of an infective pathology, which was corroborated by magnetic resonance imaging and fine needle aspiration cytology. His symptoms improved and the fracture healed following antitubercular chemotherapy and immobilization.ConclusionIn endemic regions like India, clinicians should be on the lookout for atypical presentations of tuberculosis. Any suspicious lesion should be evaluated with care for clinical, radiological and laboratory evidences of the infection. The affected spine should be protected and appropriate chemotherapy should be instituted at the earliest opportunity.

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Spontaneous fracture of the ulna complicating tuberculous osteomyelitis

Abstract: Summary:A 63 year old Asian woman presented with tuberculous osteomyelitis of the right ulna and a large subcutaneous cold abscess. During the course of her treatment the midshaft of the ulna sustained a spontaneous transverse fracture. Aspects of her case are reviewed.

Cited by 4 publications

References 10 publications

Pathological Fracture in Acute Osteomyelitis of Long Bones Secondary to Community-Acquired Methicillin-Resistant Staphylococcus aureus: Two Cases and Review of the Literature

Pathological Fracture in Acute Osteomyelitis of Long Bones Secondary to Community-Acquired Methicillin-Resistant Staphylococcus aureus: Two Cases and Review of the Literature

Fracture of the Distal Radius by Tuberculous Osteomyelitis: A Case Report and Review of Literature

Spontaneous atraumatic fracture of a cervical vertebra in tuberculosis: a case report

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