Pediatric Atypical Ulnar Tubercular Osteomyelitis with Diagnostic Dilemma.

Ann Afr MedNov 27, 2025 (epub)
Case ReportPediatricsInfectious DiseasesOpen access

Mahesh Kumar, Shah Waliullah, Sujeet Kumar Chaudhary et al.

✦ AI-curated · Sources linked

Case in brief

An 11-year-old girl developed isolated ulnar bone tuberculosis after minor trauma and was initially thought to have a traumatic fracture. Microbiological examination, including Ziehl-Neelsen staining, cartridge-based nucleic acid amplification testing, and culture, confirmed the diagnosis. Management included pus aspiration, sinus excision, daily wound care, weight-based antitubercular therapy, cast immobilization, and structured rehabilitation. She achieved radiological and functional recovery over 15 months.

What made this case unusual

Isolated ulnar tuberculosis in a child was initially mistaken for a fracture after minor trauma, creating a diagnostic dilemma.

Diagnostic / clinical pearl

In a child with an apparent ulnar fracture after minor trauma, atypical skeletal tuberculosis should remain a consideration; microbiological testing can establish the diagnosis.

Source

PubMed · PMID 41288112Free full text on PubMed Central

Published in Ann Afr Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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