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tuberculosis (tb) still represents a major public health problem worldwide. the primary form of disease is most often localized to the lung. in a minority of patients, progressive pulmonary disease spreads to other organ systems through self inoculation via infected sputum, blood and lymphatic system, establishing the secondary form of tuberculosis . we present a patient that was referred to us...

Septic osteomyelitis in children is sometimes challenging for physicians to diagnose. The diagnosis often unclear at the initial evaluation. presentation may be nonspecific. Children older than 3 months of age with hematogenous usually present acutely fever, constitutional symptoms (eg, irritability, decreased appetite or activity). Close monitoring clinical course essential establishing diagno...