INTRODUCTION Tuberculous involvement of extremities is not rare (50% of osseous disease which is 1-8% of extrapulmonary tuberculosis. These are commonly seen in larger joints followed by foot joints. These are termed milder form of tuberculosis as they are paucibacilary and have low chance of spread of infection. Also due to this nature they are often mis-diagnosed and mistreated. Invasive proc...

Leprosy reactions, which are abrupt changes in the clinical condition of patients with immunologically unstable forms of the disease, can mask the cardinal signs of leprosy, delaying both diagnosis and treatment. The main complications that arise from delayed diagnosis reflect the characteristic features of the disease, involving impaired nerve function and both local (ulcers, pyogenic infectio...

Pyogenic osteomyelitis ofthe spine has been fully described by Wilensky (1929), Kulowski (1936), Compere and Garrison (1936), Gun (1946), Wiley and Trueta (1959), Robinson and Lessof (1961), Pritchard and Robinson (1961) and recently by Griffiths and Jones (1971). Pyogenic infection ofthe intervertebral disc in children has been documented by Saenger (1950), Bremner and Neligan (1953), Dupont a...