Tuberculous osteomyelitis is an uncommon infection that usually involves th
e vertebrae. An otherwise healthy young man with a chronic discharging sinu
s on his right foot caused by tuberculous osteomyelitis is described. The r
isk factors, clinical features, radiological findings, and investigations o
f tuberculous osteomyelitis are briefly reviewed. Tuberculous osteomyelitis
usually runs an insidious course; emergency physicians should be aware of
the possibility of tuberculous osteomyelitis especially when patients prese
nt with chronic unexplained musculoskeletal symptoms.