# Tuberculosis of the Iliac Bone and Acetabulum With Iliopsoas, Obturator Internus, and Obturator Externus Abscesses in an Immunocompetent Indian Female: An Extremely Rare Case

## TL;DR

This paper reports a rare case of tuberculosis affecting the hip bones and surrounding muscles in an immunocompetent Indian woman.

## Contribution

The novelty lies in the rare combination of iliac bone, acetabulum, and multiple pelvic abscesses in tuberculosis without lung involvement.

## Key findings

- The patient presented with right hip pain and limp, leading to a rare tuberculosis diagnosis.
- Detailed radiometric and lab work confirmed tuberculosis despite no lung lesions.
- Antituberculous treatment was successfully administered for 12 months.

## Abstract

Skeletal tuberculosis is a rare form of extrapulmonary tuberculosis. Due to non-specific clinical features, these cases are often diagnosed very late, ultimately affecting treatment outcomes. The present case is a very rare case of tuberculosis of the iliac bone and acetabulum with iliopsoas, obturator internus, and obturator externus abscesses in an Indian female. She reported pain in her right hip and a limp. It was a difficult diagnosis, especially due to the rare involvement of bones and muscles in the absence of any lesions in the lungs. Nevertheless, the diagnosis was achieved by a detailed radiometric and laboratory workup. She was initiated on antituberculous treatment per her weight for 12 months.