Tubercular Cold Abscess of the Scapula: An Unusual Manifestation of Extrapulmonary Tuberculosis

and nontransilluminant.There was no local rise in temperature, and the skin was free from the underlying swelling.On overhead abduction of the left upper limb, the swelling moved with the scapula.General examination revealed pallor and a firm, mobile, discrete, tender left apical axillary lymph node measuring 1 × 1 cm. IntroductIonTuberculosis of the scapula is a very rare presentation among bone and joint tuberculosis.Skeletal tuberculosis accounts for 1-5% of all tuberculosis cases and 15% of all extrapulmonary tuberculosis cases.Among these, the spine is affected in 50% of cases.The following case report describes a rare case of tuberculosis involving the scapula in a young immunocompetent adult presenting with painful scapular swelling.Appropriate knowledge and a high index of suspicion will help in diagnosis and reduce the morbidity associated with tuberculosis. case descrIptIonA 24-year-old female nursing student presented with pain and swelling over the left scapular region of 3 months' duration.The swelling was initially small and gradually progressed, with persistent pain.Pain was aggravated by left shoulder joint movements, but there was no restriction in the range of motion of the left shoulder.There was associated numbness along the left upper limb.The patient also reported intermittent low-grade fever with cough.There was no history of significant weight loss, loss of appetite, or trauma.On examination, a 9 × 7 cm swelling was found over the superomedial aspect of the left scapula (Fig. 1).There was no overlying skin erythema, scar, or sinus.On palpation, it was a firm, globular swelling with minimal tenderness; it was nonfluctuant