RESUMO
Introduction: Tuberculosis is one of the well-known diseases with significant morbidity and financial burden on the society and health care. Tubercular osteomyelitis constitutes about 10-11% of all extra-pulmonary tuberculosis cases. Disease is believed to be a great imposter, as disease may present in varied forms and/or in atypical sites, making it prone to be missed or misdiagnosed. Case Report: We report a case of tuberculosis of bilateral acromion process in a 53-year-old female who was managed elsewhere for 18 months with physiotherapy. The patient presentation, diagnostic approach, and management along with follow have been discussed in details. Conclusion: We conclude that tuberculosis could affect any bone of the body and may have unusual presentation. Deferential diagnosis of tubercular osteomyelitis/arthritis should always be kept as a differential and ruled out. Histopathological diagnosis is still a gold standard for confirmation of the same.