@article{Chowdhury_Awal_Hosen_2019, title={Multifocal Skeletal Tuberculosis Mimicking Metastatic Bone Disease: A Dilemma on Bone Scintigraphy}, volume={21}, url={https://banglajol.info/index.php/BJNM/article/view/40363}, DOI={10.3329/bjnm.v21i2.40363}, abstractNote={<p><strong>Objective:</strong> 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.</p> <p><strong>Case report:</strong> A case of 60 years male was presented – with bony pain. His <sup>99m</sup> 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.</p> <p><strong>Conclusion:</strong> Multiple bony lesions from tuberculosis may mimic metastatic lesions in bone scan.</p> <p>Bangladesh J. Nuclear Med. 21(2): 118-121, July 2018</p>}, number={2}, journal={Bangladesh Journal of Nuclear Medicine}, author={Chowdhury, Md Sunny Anam and Awal, Md Abdul and Hosen, Munshi Md Arif}, year={2019}, month={Aug.}, pages={118–121} }