| CASE REPORT |
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| Year : 2021 | Volume
: 18
| Issue : 2 | Page : 82-84 |
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Unusual presentation of tuberculous osteitis distal fibula
Ann Maria John, Varghese Thomas, Manju Gopinathan Pillai, John George Theckanal, John Ponnezhathu Sebastian
Department of Orthopaedics, Pushpagiri Institute of Medical Sciences and Research, Thiruvalla, Kerala, India
Correspondence Address:
John Ponnezhathu Sebastian
Department of Orthopaedics, Pushpagiri Institute of Medical Sciences and Research Centre, Tiruvalla - 689 101, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/joasis.joasis_23_21
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We present the case of a 10-year-old boy presenting with pain and swelling on the lateral aspect of the left ankle associated with occasional fever of 1-month duration. Before he presented to us, he was treated with antibiotics and anti-inflammatory agents on two occasions in a local hospital for the same complaints. The swelling disappeared and mild pain persisted. The inflammatory markers were high, and the X-ray was not typical of either pyogenic infection or Ewing's sarcoma. Hence, a biopsy was done and the material was sent for histopathological and bacteriological studies. The histopathology report was typical of tuberculosis. The child became asymptomatic after antituberculous treatment. The case is presented because of the unusual clinical and radiological presentation of tuberculosis in one of the rarest sites reported in the literature.
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