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<p>Abstract</p> <p>Introduction</p> <p>Tuberculosis of the flat bones is rare and only a small percentage involves the scapular bone.</p> <p>Case presentation</p> <p>We report a rare case of tuberculosis of the scapula in a 14-year-old. Diagnostic clues include lytic areas with low density seen in the body of the scapula involving a glenoid margin associated with typical clinical features. Treatment should include a regimen of four antitubercular drugs along with surgical debridement if required.</p> <p>Conclusion</p> <p>Although rare, tuberculosis should be suspected in patients presenting with a chronic sinus in the scapular region, particularly in the developing world.</p>