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Case Reports in Infectious Diseases
Volume 2015, Article ID 629141, 4 pages
Case Report

Multifocal Tubercular Osteomyelitis with Tubercular Breast Abscess: An Atypical Presentation of Tuberculosis

1Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India
2Department of Medicine, North Bengal Medical College & Hospital, Sushrutanagar, India
3Department of Medicine, Canning Subdivisional Hospital, Canning, India
4Department of Medicine, KIMS Medical College & Hospital, Amalapuram, India

Received 22 February 2015; Revised 14 April 2015; Accepted 22 April 2015

Academic Editor: Wirongrong Chierakul

Copyright © 2015 Mita Bar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Tuberculosis of spine is common in a developing country like India. However, involvement of spine at multiple levels along with involvement of rib and tubercular breast abscess in an immunocompetent patient without any pulmonary involvement is extremely rare. Here we report a case of 53-year-old immunocompetent lady who presented with quadriparesis and MRI (magnetic resonance imaging) of spine revealed multiple lesions involving cervical, thoracic, lumbar, and sacral region without any involvement of intervertebral disc. On detailed examination she was found to have a lump in right breast. Fine needle aspiration cytology of both paravertebral collection and breast lump revealed presence of acid fast bacilli. She was put on antitubercular drug for one year and she responded well to therapy.