INTRODUCTION The prevalence of tuberculosis is increasing and musculoskeletal tuberculosis, although currently rare, may become an important problem. CASE PRESENTATION We report the case of a 20-year-old Somalian man, who presented with an inversion injury to his ankle. When further history was taken, it transpired that he had sustained trauma to his ankle in Somalia 4 years previously, compl...

INTRODUCTION: The detection or differential diagnosis of spinal infections is sometimes difficult despite the availability of advanced diagnostic technology. Although Jung et al concluded that MRI is accurate for differentiating tuberculous spondylitis from pyogenic spondylitis, ambiguous cases are often encountered in daily clinical practice. Moreover, there are often patients who are unable t...

Department of 1. Radiology and 2. Orthopedics, Royal Blackburn Hospital, Blackburn, Lancashire, UK Background: A 28-year-old lady of Asian origin presented with a painful left foot associated with swelling, purulent discharge and surrounding cellulitis. Her temperature was normal and blood results were within normal limits. Her past medical history included pulmonary tuberculosis. The patient h...

1 of 2 DESCRIPTION A 47-year-old Sri Lankan man was diagnosed with diabetic neuropathic ulceration of the left hallux. Technetium-99m scintigraphy showed increased uptake corresponding to the ulcer. However an incidental fi nding of increased uptake was also noted in the right distal tibia ( fi gure 1 ). The patient had no localising symptoms on the right. His medical history was signifi cant f...

INDIAN PEDIATRICS 952 VOLUME 42__SEPTEMBER 17, 2005 Hyper IgM syndrome (HIGM) is a rare primary immunodeficiency characterized by low levels of serum IgA and IgG and a normal or increased levels of IgM due to a block in the B cell immunoglobulin switch from IgM to IgG(1). The estimated incidence is approximately 1 in 10,30,000 live births(2). Two types are described X linked hyper IgM (XHIM) an...

Skeletal tuberculosis is a well-known disease entity. We report the first case involving hyoid bone and the use of polymerase chain reaction-based test in detection and management. A 62-year-old male presented with neck swelling of a 20-day duration along with change of voice and dysphagia. Examination revealed a cystic, osteolytic lesion of the hyoid bone which histopathologically demonstrated...