Meiliodosis is a systemic infectious disease caused by Burkholderia pseudomallei. It produces overlapping clinical manifestations which is indistinguishable from other diseases. Meliodosis of the bone and joint infections present chronically with relapses and recurrences. It is most of the time misdiagnosed as tuberculosis due to overlapping clinical, histopathological and radiological features. We have presented here a case report of an elderly Malaysian driver, who was a diabetic and presented with features of osteomyelitis. It was initially diagnosed as tubercular osteomyelitis. Microbial culture from relevant samples of the patient finally led to the diagnosis of musculoskelal melioidosis of the hip joint. The clinical presentation, diagnosis, treatment and follow up details of the patient have been discussed as a case report.

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