{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:37:58Z","timestamp":1768887478723,"version":"3.49.0"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,6]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Osteoarticular tuberculosis (TB) of long bones is an uncommon manifestation and a frequently challenging diagnosis due to the absence of typical symptoms. We report a case of an infant with tubercular osteomyelitis involving the distal radial metaphysis. He presented with a lytic lesion in the distal radius, which was treated with decompression, debridement and biopsy. The TB was diagnosed by detecting\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    (low) on cartridge-based nucleic acid amplification test, and histopathological analysis verified the diagnosis. Anti-tubercular medication treatment improved radiological and clinical outcomes. This case emphasises the importance of considering TB as a differential diagnosis for lytic bone lesions in infants, particularly in endemic areas. Early diagnosis through appropriate investigations and combined medical\u2013surgical management can achieve excellent outcomes without growth disturbances or deformities.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-267597","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:14Z","timestamp":1768839614000},"page":"e267597","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tubercular osteomyelitis of the distal radius in infancy"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6197-5336","authenticated-orcid":false,"given":"Vibhansu","family":"Yadav","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0536-0473","authenticated-orcid":false,"given":"Madhu Babu Killi","family":"Killi","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, JIPMER, Puducherry, India"},{"name":"Orthopaedics, PGIMER, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7506-2855","authenticated-orcid":false,"given":"Raghavendra","family":"Kaganur","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0543-0865","authenticated-orcid":false,"given":"Gopisankar","family":"Balaji","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"2026011908200768000_19.1.e267597.1","unstructured":"Tobin EH , Tristram D . 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StatPearls Publishing, 2024."},{"key":"2026011908200768000_19.1.e267597.2","doi-asserted-by":"crossref","first-page":"7434","DOI":"10.4103\/jfmpc.jfmpc_697_22","article-title":"The humble wrist pain could be \u201cearly\u201d tuberculosis and a high index of suspicion may help nip it in the bud: A case report","volume":"11","author":"Tiwari","year":"2022","journal-title":"J Family Med Prim Care"},{"key":"2026011908200768000_19.1.e267597.3","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4184\/asj.2017.11.3.405","article-title":"Epidemiology of Musculoskeletal Tuberculosis in an Area with High Disease Prevalence","volume":"11","author":"Held","year":"2017","journal-title":"Asian Spine J"},{"key":"2026011908200768000_19.1.e267597.4","first-page":"21","article-title":"Tuberculosis-the masquerader of bone lesions in children","volume":"8","author":"Rasool","year":"2009","journal-title":"SA Orthop J"},{"key":"2026011908200768000_19.1.e267597.5","doi-asserted-by":"publisher","DOI":"10.1177\/230949901101900315"},{"key":"2026011908200768000_19.1.e267597.6","first-page":"32","article-title":"Management of newborn infant born to mother suffering from tuberculosis: current recommendations & gaps in knowledge","volume":"140","author":"Mittal","year":"2014","journal-title":"Indian J Med Res"},{"key":"2026011908200768000_19.1.e267597.7","unstructured":"Paediatric TB Management Guideline . National tuberculosis elimination program. New Delhi, India Ministry of Health and family welfare; 2022."},{"key":"2026011908200768000_19.1.e267597.8","doi-asserted-by":"crossref","unstructured":"Rajasekar S , Rajappa S , Ramasamy Giridharan A . Tuberculosis: A Silent Intruder in the Musculoskeletal Landscape of the Upper Extremity. Cureus 2024;16. doi:10.7759\/cureus.69370","DOI":"10.7759\/cureus.69370"},{"key":"2026011908200768000_19.1.e267597.9","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.00083-18"},{"key":"2026011908200768000_19.1.e267597.10","doi-asserted-by":"crossref","unstructured":"Yushan M , Yalikun A , Hamiti Y , et al . Clinical features and treatment outcome of wrist tuberculosis in adult- a retrospective study of 84 consecutive cases with minimum of 2 years follow up. BMC Musculoskelet Disord 2022;23. doi:10.1186\/s12891-022-05563-8","DOI":"10.1186\/s12891-022-05563-8"},{"key":"2026011908200768000_19.1.e267597.11","first-page":"237","article-title":"Erythrocyte sedimentation rate in childhood tuberculosis: is it still worthwhile?","volume":"4","author":"Al-Marri","year":"2000","journal-title":"Int J Tuberc Lung Dis"},{"key":"2026011908200768000_19.1.e267597.12","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1016\/j.jhsa.2011.05.036","article-title":"Tuberculosis of the Hand","volume":"36","author":"Al-Qattan","year":"2011","journal-title":"J Hand Surg Am"},{"key":"2026011908200768000_19.1.e267597.13","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00003"},{"key":"2026011908200768000_19.1.e267597.14","doi-asserted-by":"crossref","first-page":"288","DOI":"10.2106\/00004623-199602000-00019","article-title":"Tuberculosis of bones and joints","volume":"78","author":"Watts","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"2026011908200768000_19.1.e267597.15","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4046\/trd.2015.78.2.47","article-title":"Diagnosis and treatment of extrapulmonary tuberculosis","volume":"78","author":"Lee","year":"2015","journal-title":"Tuberc Respir Dis (Seoul)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:16Z","timestamp":1768839616000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,19]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-267597"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267597","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}