A case of tuberculosis in the appearance of a metastatic tumor

Introduction: We report a case of chronic osteolysis of the ribs, iliac bones and vertebrae, Pott's abscess due to tuberculosis that was previously misdiagnosed as cancer metastasis on computed tomography imaging. Case Report: We report a rare case of multiple vertebrae, ribs and ileac bones lesions associated with Pott's disease and psoas abscess caused by tuberculosis in 28-year-old female. This case illustrates an exceptional location of osteoarticular tuberculosis with Pott's disease and supports the diagnostic difficulties encountered: (i) bone imaging is not specific, in view of if cancer metastasis is suspected, (ii) sampled from the rib lesion with fine needle aspiration biopsy, (iii) there is psoas abscess drained. Conclusion: Tuberculosis should come to mind in patient with multiple bony lesions, especially in endemic countries such as Somalia. Additionally, we recommend cytohistomorphological testing for any tuberculosis cases.