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Case Report
 
A case of tuberculosis in the appearance of a metastatic tumor
Yilmaz Baş1, Ali Bulgan2, Ikram Abdikarim Ibrahim3
1Department of Pathology, Hitit University Training and Research Hospital, Çorum, Turkey
2Department of Radiology, Iskenderun State Hospital, Hatay, Turkey
3General Surgery, Somali Mogadishu-Turkey Training and Research Hospital, Mogadishu, Somali

Article ID: Z01201711CR10845YB
doi:10.5348/ijcri-2017106-CR-10845

Address correspondence to:
Yilmaz Baş
MD, Pathology Divisionm,
Hitit University Training and Research Hospital
Department of Pathology, Çorum
Turkeyl

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How to cite this article
Baş Y, Bulgan A, Ibrahim IA. A case of tuberculosis in the appearance of a metastatic tumor. Int J Case Rep Images 2017;8(11):698–702.


ABSTRACT

Introduction: We report a case of chronic osteolysis of the ribs, iliac bones and vertebrae, Pott’s abscess due to tuberculosis that was previously misdiagnosed as cancer metastasis on computed tomography imaging.
Case Report: We report a rare case of multiple vertebrae, ribs and ileac bones lesions associated with Pott’s disease and psoas abscess caused by tuberculosis in 28-year-old female. This case illustrates an exceptional location of osteoarticular tuberculosis with Pott’s disease and supports the diagnostic difficulties encountered: (i) bone imaging is not specific, in view of if cancer metastasis is suspected, (ii) sampled from the rib lesion with fine needle aspiration biopsy, (iii) there is psoas abscess drained.
Conclusion: Tuberculosis should come to mind in patient with multiple bony lesions, especially in endemic countries such as Somalia. Additionally, we recommend cytohistomorphological testing for any tuberculosis cases.

Keywords: Bone and joint infections, Pathology, Respiratory infections, Tuberculosis


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Author Contributions
Yilmaz Baş – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ali Bulgan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ikram Abdikarim Ibrahim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Yilmaz Baş et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.