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 Scopes 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 Racks 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.