TB Research

Tuberculous Trochanteritis: An Uncommon Presentation of Primary Tuberculosis Without Articular or Systemic Involvement

Ben Salah S, Boubcher M, Ben Abdellah A, Miry N, Abdeljaouad N

Cureus · 2025-02

Abstract

This paper reports the experience of our orthopedic department with a case involving a mass over the left greater trochanter that had been developing over nine months. Radiological evaluation (standard radiography + MRI of the left hip) revealed a soft tissue collection over the left greater trochanter with multiple calcifications originating from the trochanteric region. Management included surgical drainage of the collection, resection of calcifications, and collection of samples for bacteriological analysis (PCR for Mycobacterium tuberculosis DNA, which was negative) and histopathological examination. The histopathological findings confirmed a tuberculous infection, leading to the diagnosis of tuberculous trochanteritis.