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[Tuberculosis of the sternoclavicular joint]
Takeshi Kawasaki1, Yuka Sasaki, Aya Shinozaki
1Department of Thoracic Disease, National Hospital Organization Chiba-East National Hospital, 673 Nitona-cho, Chuo-ku, Chiba-shi, Chiba 260-8712, Japan. t-kawa@cehpnet.com
Kekkaku : [Tuberculosis]
|June 15, 2007
Summary
Sternoclavicular joint tuberculosis is a rare manifestation of the disease. This case highlights the importance of considering tuberculosis in patients with joint swelling and a history of tuberculosis, even in unusual locations.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) can affect any part of the body, but sternoclavicular joint involvement is uncommon.
- A 70-year-old female with a history of pulmonary tuberculosis presented with right sternoclavicular joint swelling.
Observation:
- Chest CT revealed a low-density area with destructive osseous changes in the right sternoclavicular joint.
- Initial needle biopsies were inconclusive for a definitive diagnosis.
Findings:
- Diagnosis of sternoclavicular joint tuberculosis was established based on clinical presentation, imaging, and confirmed by Mycobacterium presence and PCR-TB positivity in histological specimens.
- The patient's condition did not improve with 3 months of anti-tuberculous drugs, necessitating surgical intervention.
Implications:
- Tuberculosis should be suspected in patients with arthritis and a prior TB history, irrespective of the affected site.
- Surgical intervention should be considered for bone and joint tuberculosis unresponsive to standard chemotherapy.
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