INTRODUCTION:

Tuberculosis is continued to pose one of the major public health problems in developing country like India. It involves various systems of the body, including the skeletal system. Osteoarticular tuberculosis is the second most common form of extra pulmonary tuberculosis next to lymph nodes and constitutes about 13% of all extra pulmonary cases. The major osseous areas of predilection of tubercular involvement in order of occurrence are spine, hip, knee, foot, elbow, and hand [1]. Isolated iliac bone tuberculosis is an uncommon entity, we are discussing here a rare case of Anterior inferior iliac spine tuberculosis presented to us with discharging sinus from anterolateral aspect of thigh.

CASE SUMMARY:

19–year female presented with complaining of left hip pain since last 4 months with discharging sinus from left thigh since last 15 days (figure1). MRI was suggesting enhanced erosive lesion involving left anterior inferior iliac spine (figure 2). And abscess extending anterior inferiorly into the left groin and anterolateral upper thigh figure 3,4,5). Abscess drainage with Sinus tract excision was done. Biopsy was suggesting chronic granulomatous inflammation. Culture was positive for mycobacterium tuberculosis complex. Patient was started on AKT. Patient was symptom free with a normal activity level without any signs of recurrence on 8 month follow up.

CONCLUSION:

Modern antitubercular drugs revolutionized the outcome of treatment of osseous tuberculosis. Early diagnosis is of paramount importance for early prompt treatment and better clinical outcome.