Tuberculosis remains a major cause of skeletal infection in many parts
of the world. With the advent of acquired immune deficiency syndrome
(AIDS) and mass emigration from underdeveloped to industrialized natio
ns this past decade, a new patient population is being encountered in
which extrapulmonary tuberculosis is not uncommon and atypical present
ations may confuse the diagnosis. Our recent experience with an unusua
l presentation has prompted this report.