TB Research

A Multifocal Tuberculosis Revealed by Coxofemoral Involvement: A Case Report

Moatassime, S, Mourhri, A, Ijim, M, Fikri, O, Amro, L

Zenodo (CERN European Organization for Nuclear Research) · 2025-11

Abstract

Multifocal tuberculosis, defined as the concomitant involvement of multiple non-contiguous sites by Mycobacterium tuberculosis, is a rare entity, particularly in immunocompetent individuals. Osteoarticular localizations, especially tuberculous coxitis, represent an uncommon mode of presentation. We report the case of a 17-year-old male with no medical history, presenting with acute left hip pain revealing multifocal tuberculosis, confirmed by detection of Mycobacterium tuberculosis in sputum using the GeneXpert test. This case highlights the importance of early consideration of tuberculosis in any subacute or chronic arthritis with suggestive clinical context.

MeSH terms

  • Medicine
  • Tuberculosis
  • Mycobacterium tuberculosis
  • Concomitant
  • Sputum
  • Arthritis
  • Surgery
  • Extrapulmonary tuberculosis
  • Dermatology
  • Osteitis
  • GeneXpert MTB/RIF
  • Mycobacterium tuberculosis complex
  • Pathology