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Year : 2019  |  Volume : 12  |  Issue : 2  |  Page : 155-156

Skeletal tuberculosis leading to pathological fracture

1 MGM Medical College and Hospital, Aurangabad, Maharashtra, India
2 Department of Pediatrics, B. J. Wadia Hospital for Children, Mumbai, Maharashtra, India

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Ira Shah
1/B Saguna, 271/B St Francis Road, Vile Parle, Mumbai - 400 049, Maharashtra
Lavina Vijay Desai
41, Juhu Ajanta, Gulmohar Road No. 1, JVPD Scheme, Mumbai - 400 049, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_47_18

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Skeletal tuberculosis (TB) is usually present in 1%–3% of active TB patients. Those with altered immunity have an increased of Skeletal TB. The most commonly involved sites are hip (20%), knee (10%), ankle and foot (5%), and shoulder (1%), and the most common forms of presentation are arthritis, spondylitis, and osteomyelitis. Tuberculous pathological fracture is a rare presentation, and only three cases have been reported in literature. We present a case of a 4½-month-old boy with a nontraumatic fracture of the humerus secondary to TB. Our patient was started on a four-drug regimen consisting of isoniazid, rifampicin, ethambutol, and pyrazinamide and advised immunodeficiency workup.

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