We present an atypical case of tuberculosis in an immunocompetent man from New Delhi, India. The patient entered the hospital with pain in left hip for two months. He had a history of joint pains involving both small and large joints for past two months, which was migratory in nature. There were no constitutional symptoms of fever, night sweats, weight loss or loss of appetite. Diagnosis of tuberculosis was made by full body FDG-PETCT Scan, followed by histopathology of the biopsy from the enlarged supraclavicular lymph node. Tuberculosis cases with such presentation are rather known with immunodeficient patients. Extrapulmonary tuberculosis, especially skeletal tuberculosis is seen more frequent in young immunocompetent patients. The migratory nature of the joint pains is rather unknown in cases of skeletal tuberculosis and needs more evaluation of such cases in the future.

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Himanshu Dhiman

Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi