Tubercular Osteomyelitis of Pubis with Labial Abscess: A Rare Presentation of a Common Disease

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2022 Apr 13

PMID 35415143

Authors

Amit Kumar Jha

Divesh Jalan

R K Beniwal

Affiliations

Soon will be listed here.

Abstract

Introduction: Skeletal tuberculosis (TB) accounts for 10-15% of all cases of extra-pulmonary TB. The involvement of pubis is extremely rare with only 40 cases of pubic bone TB reported in the medical literature. The presentation of the disease with labial abscess is much rarer with only one case reported till now.

Case Report: A 23-year-old female presented with symptoms of pain and swelling in the right groin. The patient was evaluated with hematological and radiological investigations and the diagnosis of Tubercular osteomyelitis of pubis with labial abscess was confirmed using AFB staining and culture of the aspirate. The patient was subsequently managed with Anti-tubercular chemotherapy for 18 months and the lesion healed with excellent functional outcome.

Conclusion: Tubercular Osteomyelitis of the pubis is a rare disease with varied clinical presentation. Timely diagnosis and anti-tubercular chemotherapy usually result in complete recovery.

References

Lal H, Jain V, Kannan S . Tuberculosis of the pubic symphysis: four unusual cases and literature review. Clin Orthop Relat Res. 2013; 471(10):3372-80. PMC: 3773122. DOI: 10.1007/s11999-013-3037-0. View

Garg P, Chaurasia A, Singh A . An unusual cause of thigh swelling: tuberculosis of the pubis. Am J Trop Med Hyg. 2013; 88(1):1-2. PMC: 3541718. DOI: 10.4269/ajtmh.2013.12-0358. View

Pauli S, Willemsen P, Declerck K, Chappel R, Vanderveken M . Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature. Br J Sports Med. 2002; 36(1):71-3. PMC: 1724464. DOI: 10.1136/bjsm.36.1.71. View

Gamble J, Simmons S, Freedman M . The symphysis pubis. Anatomic and pathologic considerations. Clin Orthop Relat Res. 1986; (203):261-72. View

Shende P, Gandhewar M, Gaikwad P, Nanaware S, Risbud Joshi P . Labial swelling: a rare presentation of pubic bone tuberculosis. Trop Doct. 2016; 47(2):176-178. DOI: 10.1177/0049475516666246. View

Aswathaman K, Devasia A . Osteuria. Urology. 2008; 71(3):546.e13. DOI: 10.1016/j.urology.2007.11.023. View

Balsarkar D, Joshi M . Tuberculosis of pubic symphysis presenting with hypogastric mass. J Postgrad Med. 2001; 47(1):54. View

Bali K, Kumar V, Patel S, Mootha A . Tuberculosis of symphysis pubis in a 17 year old male: a rare case presentation and review of literature. J Orthop Surg Res. 2010; 5:63. PMC: 2939629. DOI: 10.1186/1749-799X-5-63. View

Pigrau-Serrallach C, Rodriguez-Pardo D . Bone and joint tuberculosis. Eur Spine J. 2012; 22 Suppl 4:556-66. PMC: 3691411. DOI: 10.1007/s00586-012-2331-y. View

10.

Fares G, Pagani A . [Tubercular osteitis of the pubis]. Minerva Ortop. 1966; 17(8):459-69. View

11.

Singh S, Arora S, Sural S, Dhal A . Tuberculosis of the pubic symphysis masquerading as osteitis pubis: a case report. Acta Orthop Traumatol Turc. 2012; 46(3):223-7. DOI: 10.3944/aott.2012.2696. View

12.

Ansari S, Amanullah M, Ahmad K, Rauniyar R . Pott's Spine: Diagnostic Imaging Modalities and Technology Advancements. N Am J Med Sci. 2013; 5(7):404-11. PMC: 3759066. DOI: 10.4103/1947-2714.115775. View