Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2012  |  Volume : 5  |  Issue : 5  |  Page : 525-527

Rare site for tubercular osteomyelitis with HIV infection


Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Vijay Bohra
Department of Internal Medicine, Armed Forces Medical College, Pune-40, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.105153

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Tuberculosis of the scapula is a rare clinical entity. Few cases have been reported in the literature so far. We report a case of tuberculosis of the scapula in a HIV positive patient, which was managed successfully with antitubercular drugs. This case illustrates the difficulties in diagnosing tubercular osteomyelitis of the scapula as it has an insidious onset, paucity of constitutional symptoms and frequent absence of associated pulmonary involvement. Pitfall in diagnosis is the delay in considering the diagnosis of bony tuberculosis, especially in patients who have normal chest radiographs.


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