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Tuberculosis of the Left Wrist Joint and Spine
Parthiban Sivasamy1, Mohd Yazid Bajuri2, Abdul Wahab Ghani3
1Orthopaedics, KPJ Healthcare University College, Nilai, MYS.
Abstract:
The incidence of wrist tuberculosis is rare. Clinical features and radiographs are not conclusive in the beginning, happen to delay the achievement of the diagnosis, and thus result in poor treatment. We present a case report of wrist tuberculosis that had delayed diagnosis. Hence, the initiation of antituberculous treatment was delayed, as the initial investigations were not conclusive of tuberculous infection. The patient was treated surgically multiple times before tuberculosis was diagnosed. Antituberculous chemotherapy was started for the patient for one year until she became afebrile and infective markers returned to normal. However, the patient developed left wrist stiffness due to arthrofibrosis and bony destruction of the wrist joint.
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