TUBERCULOSIS of the long bones in children usually attacks the metaphysis, with early caseation and abscess formation. Less commonly, single or multiple tuberculous foci are found in the diaphyses, with localized thinning of the cortex and formation of cyst-like structures. These tuberculous cysts may remain stationary for long periods, may progress to abscess formation, or, more frequently, may heal without complication. Such cyst-like areas in roentgenograms of the long bones, especially when unaccompanied by sinus or abscess formation, may present problems in differential diagnosis. For this reason, we present the following two cases of cystic tuberculosis of the bones.
REPORT OF CASES
Case 1.–B. T., an 18-month-old Negro girl, was admitted to the Pediatric Clinic of Provident Hospital (Chicago) on Jan. 27, 1938, with the complaint of disability in the region of the left shoulder.Past History.–The child was born at term of a normal spontaneous delivery. The birth
ALTHEA D. KESSLER, ROLAND B. SCOTT, CHARLES H. KELLEY, RUTH STEINMAN. CYSTIC TUBERCULOSIS OF THE BONES IN CHILDRENReport of Two Cases. AMA Am J Dis Child. 1954;88(2):201–209. doi:10.1001/archpedi.1954.02050100203007