Tubercular Osteomyelitis of Bilateral Acromion Process: A Case Report.

Introduction: Tuberculosis is one of the well-known diseases with significant morbidity and financial burden on the society and health care. Tubercular osteomyelitis constitutes about 10-11% of all extra-pulmonary tuberculosis cases. Disease is believed to be a great imposter, as disease may present in varied forms and/or in atypical sites, making it prone to be missed or misdiagnosed. Case Report: We report a case of tuberculosis of bilateral acromion process in a 53-year-old female who was managed elsewhere for 18 months with physiotherapy. The patient presentation, diagnostic approach, and management along with follow have been discussed in details. Conclusion: We conclude that tuberculosis could affect any bone of the body and may have unusual presentation. Deferential diagnosis of tubercular osteomyelitis/arthritis should always be kept as a differential and ruled out. Histopathological diagnosis is still a gold standard for confirmation of the same.

Rare presentation of giant cell tumor of bone in the lateral end of the clavicle.

PATIENT: Male, 30 FINAL DIAGNOSIS: Giant cell bone tumor Symptoms: Bone swelling • pain MEDICATION: - Clinical Procedure: - Specialty: Oncology. OBJECTIVE: Unusual clinical course. BACKGROUND: Cooper first reported giant cell tumors (GCT) in the 18(th) century. The clavicle is a rare site for tumors. Metastatic tumors are more common than benign. This is the first case of GCT lateral end of clavicle to be reported in the literature. CASE REPORTS: A 30-year-man was admitted with a 1-year history of progressively increasing swelling and pain over the left lateral end of the clavicle. The plain radiograph and PET scan revealed an expansile radiolucent lesion in the lateral end of the clavicle. Swelling was epiphsio-metaphyseal in location. It demonstrated geographical type of destruction with a narrow zone of transition. There was no periosteal reaction or soft-tissue component. The mitotic activity was found to be 0-1/10 HPF. Diagnosis was confirmed histopathologically. A wide excision of the mass, including 3 cm of healthy tissue of the clavicle, was performed. CONCLUSIONS: The presence of an expansile lytic lesion of the lateral end of the clavicle should be taken seriously and complete radiological and histopathological investigation should be done and giant cell tumor of the bone should be kept in mind despite its rarity.