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Bifocal musculoskeletal tuberculosis in upper limb: Unusual case
Rida-Allah Bassir1, Fouad Saoudi1, Farid Ismael1
1Department of Orthopaedic Surgery and Traumatology, Mohamed V. Souissi University, Rabat, Morocco.
International Journal of Mycobacteriology
|January 21, 2016
Summary
This case report highlights a rare instance of bifocal musculoskeletal tuberculosis in a young man. Early diagnosis through histopathology and prompt antibacillary chemotherapy led to excellent outcomes, emphasizing the need to consider atypical tuberculosis presentations.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Musculoskeletal tuberculosis (TB) is uncommon, with bifocal presentations being exceptionally rare.
- This report details a 28-year-old man with simultaneous palm and sternoclavicular joint swelling.
Purpose of the Study:
- To document an unusual case of bifocal musculoskeletal tuberculosis.
- To emphasize the importance of considering atypical TB presentations for timely diagnosis and treatment.
Main Methods:
- Clinical presentation of simultaneous hand and sternoclavicular joint swelling.
- Diagnostic workup including negative HIV, hepatitis serology, and tuberculin skin test.
- Normal initial radiographs, followed by histopathology for diagnosis.
Main Results:
- Histopathology confirmed musculoskeletal tuberculosis despite normal initial imaging and negative skin tests.
- The patient responded well to antibacillary chemotherapy.
Conclusions:
- Bifocal musculoskeletal tuberculosis is a rare but important differential diagnosis.
- Histopathology is crucial for diagnosing atypical TB presentations.
- Prompt chemotherapy is effective for managing musculoskeletal TB.
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