The great pretender: Multi-system tuberculosis and pathological fracture masquerading as a severe acute football groin injury ‒ Case study with a 5-year follow-up
In this clinical case, a man presented with a groin injury on his dominant side, which he apparently sustained in football (soccer) practice on the previous day. The man was unable to walk unassisted and had to be transported in a wheelchair. The consulting practitioner grew suspicious upon finding minimal clinical evidence and nothing notable on the X-ray to suggest a severe acute injury. A subsequent detailed workup revealed extrapulmonary tuberculosis (EPTB) of the musculoskeletal (MSK) and genitourinary tract (GUT) systems, complicated by a pathological fracture of the acetabulum, as the cause of the groin injury. Management of the EPTB resolved the condition with no relapse nor long-term sequelae beyond five years, despite being immunocompromised. We present the clinical case and a five year follow-up. The case serves as a reminder of the possibility that other conditions may mimic sports injuries and further illustrates a rare presentation of such a condition.
How to Cite
Copyright (c) 2023 South African Journal of Sports Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in theÂ South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. TheÂ South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.