Work

Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting

Year: 2025

Type: article

Abstract: This case report presents a rare instance of chronic rib osteomyelitis in a 23-year-old female from Darchula, an underserved rural area in Nepal. Rib osteomyelitis is uncommon and often diagnosed late due to its subtle presentation. The patient initially presented at a primary care center with a 2-week history of a protruding bony mass in the right upper back, accompanied by foul-smelling discharge and low-grade fever. She was referred to a tertiary hospital, where a CT scan, surgical excision, and biopsy confirmed chronic rib osteomyelitis. This case highlights the diagnostic challenges of rare conditions in rural settings and emphasizes the essential role of community-based healthcare in early identification and referral. It underscores the need for accessible diagnostic facilities, community health education, and a multidisciplinary approach to support patients in resource-limited environments.

Source: Clinical Medicine Insights Case Reports

DOI: 10.1177/11795476251333238

Authors: Bikash Pandey, Pujan Pant, Aayush Bist, Nishant Pandey

Institution: Manipal College of Medical Sciences

Language: English

Topic: Orthopedic Infections and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,650