Uncommon Presentations of a Common Disease: Tuberculosis

ankle, sternoclavicular joints,10 sub mandi bular and/or parotid salivary gland, head of pancreas, eye, sacrococcygeal2,9-12 (distinct from commoner thoracolumbar), anorectal region, mediastinal and/ or porta hepatic lymph glands, and thyroid to name a few. Surgical resection of the organ affected can be avoided with early diagnosis and appropriate specific and equally important supportive therapy. Jameja et al.11 reported a case of parotid gland TB where fine needle aspiration cytology could ensure early diagnosis, avoiding surgery. Shamimol9 documented a case with uncommon oral ulcer diagnosed as tuberculous granuloma relieved after antituberculosis therapy. Giudice et al.12 from France reported a case of infiltrated dermal ulcerative lesion associated with military TB. Acid-fast bacilli were isolated from the necrotic tissue. Bilateral diffuse reticulonodular infiltrates on X-ray chest supported the pathological impression. A 72-year-old lady with established osteoporosis of spin