# Tuberculous Trochanteric Bursitis Mimicking Hydatidosis: A Rare Case Report

## TL;DR

A rare case of tuberculous trochanteric bursitis was misdiagnosed as hydatidosis, but proper treatment led to full recovery.

## Contribution

This case report highlights the diagnostic challenges of tuberculous trochanteric bursitis and emphasizes the need for early suspicion and combined treatment.

## Key findings

- Tuberculous trochanteric bursitis was initially misdiagnosed as hydatidosis due to similar imaging features.
- Histopathological confirmation and combined surgical and medical treatment led to full recovery without recurrence.
- Early suspicion and accurate diagnosis are crucial for optimal outcomes in this rare condition.

## Abstract

Tuberculous trochanteric bursitis is a rare condition that accounts for less than 2% of musculoskeletal tuberculosis cases, usually diagnosed late because of reduced diagnostic suspicion, and the insidious clinical presentation aspect of musculoskeletal tuberculosis. We describe the case of a 26-year-old male presenting with a slowly enlarging painful mass of the right hip without systemic symptoms. Imaging initially suggested hydatidosis, but aspiration confirmed Mycobacterium tuberculosis. A complete bursectomy combined with antitubercular therapy led to full recovery with no recurrence at two years. This case highlights the diagnostic challenges of tuberculous trochanteric bursitis, often mimicking other pathologies, and underlines the importance of early suspicion, histopathological confirmation, and combined surgical and medical treatment for optimal outcomes.