Multifocal Skeletal Tuberculosis Mimicking Metastatic Bone Disease: A Dilemma on Bone Scintigraphy

Authors

  • Md Sunny Anam Chowdhury Institute of Nuclear Medicine and Allied Sciences, Bogra
  • Md Abdul Awal Institute of Nuclear Medicine and Allied Sciences, Bogra
  • Munshi Md Arif Hosen Institute of Nuclear Medicine and Allied Sciences, Rajshahi

DOI:

https://doi.org/10.3329/bjnm.v21i2.40363

Keywords:

Musculoskeletal tuberculosis; multifocal skeletal tuberculosis; multifocal osteoarticular tuberculosis

Abstract

Objective: Multifocal skeletal tuberculosis is a rare condition in immunocompetent patient even in a tuberculosis endemic area. Diagnosis of such atypical cases is challenging to the physicians and treatment is delayed in majority of cases.  The objective of this case report was to present a patient with tuberculosis with  skeletal lesions.

Case report: A case of 60 years male was presented – with bony pain. His 99m Tc methylene diphosphonate (MDP) scan showed multiple foci of increased radiotracer resembling a metastatic bone disease. However, aspiration cytology and biopsy from the focal lesions and subsequent therapeutic response to anti-tubercular treatment indicated that the lesions were from tubercular infection.

Conclusion: Multiple bony lesions from tuberculosis may mimic metastatic lesions in bone scan.

Bangladesh J. Nuclear Med. 21(2): 118-121, July 2018

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Published

2019-08-05

How to Cite

Chowdhury, M. S. A., Awal, M. A., & Hosen, M. M. A. (2019). Multifocal Skeletal Tuberculosis Mimicking Metastatic Bone Disease: A Dilemma on Bone Scintigraphy. Bangladesh Journal of Nuclear Medicine, 21(2), 118–121. https://doi.org/10.3329/bjnm.v21i2.40363

Issue

Vol. 21 No. 2 (2018)

Section

Case Reports

License

All rights reserved to Editor-in-Chief, Bangladesh Journal of Nuclear Medicine, Society of Nuclear Medicine, Bangladesh