Ulnar bone tuberculosis in children: Case report and literature review

Abstract

Rationale: Tuberculosis of the long tubular bones in children’s extremities is infrequent, particularly in the ulna. Early diagnosis poses significant challenges. This report presents a case involving a 2-year-old child with tuberculosis of the ulnar bone, accompanied by a comprehensive review of pertinent literature. The purpose of this study is to share diagnostic and therapeutic experiences and provide potentially valuable insights. Patient concerns: In this case, the patient exhibited complete destruction and expansion of the ulnar bone, resulting in a forearm size considerably greater than normal. Concerns were raised about the irreversible deformation of the ulna, the potential for a malignant bone tumor, and its impact on forearm function, potentially endangering the patient’s life. Diagnoses: The diagnosis was confirmed as tuberculosis of the ulnar bone. Interventions: The patient underwent surgery to remove the affected ulnar tissue and received anti-tuberculosis medication. Outcomes: Subsequent to treatment, the destruction and expansion of the ulnar bone resolved, with the return of normal ulnar morphology and bone structure. Lessons: Even in the absence of typical symptoms like fever, weight loss, and loss of appetite, extensive destruction and expansion of a long tubular bone should prompt vigilant consideration of bone tuberculosis.