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.