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Elbow tuberculosis: an unusual location and diagnostic problem.
Anna Domingo1, Meritxell Nomdedeu, Xavier Tomás
1Department of Orthopaedic and Trauma Surgery, Hospital Clínic i Universitari Barcelona, C/Villarroel 170, 08029, Barcelona, Spain.
Archives of Orthopaedic and Trauma Surgery
|February 5, 2004
Summary
Tuberculous arthritis, a rare elbow joint infection, is increasingly seen due to rising immunocompromised populations. This case highlights diagnostic challenges delaying treatment for this uncommon osteoarticular tuberculosis presentation.
Area of Science:
- Orthopaedics
- Infectious Diseases
- Rheumatology
Background:
- Tuberculosis (TB) incidence has risen globally, particularly in immunocompromised individuals.
- Osteoarticular TB, affecting bones and joints, is a significant concern.
- While spinal and weight-bearing joints are commonly affected, elbow joint TB is rare.
Observation:
- This case report details a patient presenting with tuberculous arthritis of the elbow.
- The diagnosis was challenging, leading to a delay in appropriate treatment.
- The resurgence of TB has led to an increase in osteoarticular involvement.
Findings:
- Tuberculous arthritis of the elbow is an uncommon manifestation of osteoarticular tuberculosis.
- Diagnostic delays can occur due to the rarity of this condition in the elbow.
- Early recognition and treatment are crucial for favorable outcomes.
Implications:
- Highlights the importance of considering tuberculosis in cases of atypical joint monoarthritis, even in non-weight-bearing joints.
- Emphasizes the need for heightened clinical suspicion and prompt diagnostic workup for tuberculous arthritis of the elbow.
- Underscores the impact of increased immunocompromised populations on the resurgence of osteoarticular TB.