Multifocal Skeletal Tuberculosis Without Pulmonary Involvement: A Diagnostic Conundrum

Abstract

A high level of clinical suspicion is necessary for the diagnosis of multifocal skeletal tuberculosis, while more recent studies can aid in radiological confirmation of the diagnosis. They could, however, occasionally be inaccurate, conflating the diagnosis with metastasis. The most reliable method of diagnosis is still a biopsy. Even in nations where TB is widespread, immunocompetent patients seldom experience multifocal skeletal involvement. Fortunately, it can be treated with successful outcomes. A rare case of Multifocal TB of lumbar vertebrae 3,4, ribs, sternum, and hip bones is reported in the case report. The patient had unusual radiological imaging results that were more indicative of multiple myeloma.

Keywords: Granulomatous inflammation, Immunocompetent, Lytic bone lesions, Malignancy, Multifocal skeletal tuberculosis