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Clavicular tuberculosis following trivial trauma
Rubal Patel1, Sagar Naik, Boris Melnikau
1Department of Medicine, Division of Pulmonary and Critical Care Medicine, New York Methodist Hospital, Brooklyn, NY. rubalmd04@yahoo.com
Southern Medical Journal
|July 14, 2009
Summary
Tuberculosis of the clavicle bone is extremely rare, especially sparing the sternoclavicular joint. This report details a unique case of clavicular osteomyelitis in an immunocompetent patient.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) typically affects the lungs, but can manifest in bones, a condition known as osteomyelitis.
- Tuberculosis of the clavicular bone is exceptionally rare, with fewer than 80 cases documented globally since the discovery of Mycobacterium tuberculosis.
Observation:
- A case of tuberculous osteomyelitis involving the clavicle, with uninvolved sternoclavicular joint, is presented.
- The patient was immunocompetent and presented with swelling in the upper chest area.
Findings:
- This case highlights the unusual presentation of clavicular tuberculosis, emphasizing its rarity and the potential for atypical manifestations.
- The literature review indicates a significant decline in reported cases of clavicular TB in the United States over the past decade.
Implications:
- This case expands the understanding of skeletal tuberculosis presentations.
- It underscores the importance of considering rare diagnoses, even in immunocompetent individuals presenting with localized swelling.
- Further research may be needed to understand the epidemiology and diagnostic challenges of non-pulmonary tuberculosis.
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