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Tuberculous Pseudotumor of the Proximal End of the Fibula: A Case Report

  • Ibrahim Fikry Abdelwahab
  • , Steven Poplaw
  • , Mohammed Abdul-Quader
  • , Deepak Naran

Research output: Contribution to journal › Article › peer-review

Abstract

A 72-year-old asian woman who had immigrated from Vietnam 10 years ago presented with a soft tissue mass around the proximal fibula. Conventional radiographs and magnetic resonance imaging demonstrated a destructive lesion of the head of the fibula with an intact superior tibiofibular joint and an abscess surrounding the destroyed bone. Histopathology obtained by a CT-guided needle biopsy revealed necrotizing epithelioid granulomata without demonstrating acid-fast bacilli. However, culture grew Mycobacterium tuberculosis. When tuberculosis affects the end of a long tubular bone, the adjacent synovial joint is usually involved. Cases where joint involvement does not occur are extremely rare and unusual. We report such a case.

Original languageEnglish
Pages (from-to)145-147
Number of pages3
JournalBulletin: Hospital for Joint Diseases
Volume61
Issue number3-4
StatePublished - 2003
Externally publishedYes

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