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Abnormal Presentation of Extrapulmonary Tuberculosis.
Arju Fatema B Lakhani1, Swapnil Date1, Sanjay V Deshpande1
1Department of Orthopaedics and Traumatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Tuberculosis can affect bones and joints, though wrist joint tuberculosis is rare. This case highlights tubercular arthritis in a patient presenting with wrist swelling and pain.
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Area of Science:
- Orthopedics
- Infectious Diseases
- Rheumatology
Background:
- Tuberculosis (TB) commonly affects the lungs but can disseminate to other organs.
- Skeletal TB typically involves the spine and large joints, with peripheral joint involvement being infrequent.
Observation:
- A 40-year-old female presented with localized swelling and pain in her wrist joint.
- Clinical presentation suggested an inflammatory or infectious process affecting the wrist.
Findings:
- The patient was diagnosed with tubercular arthritis of the wrist joint.
- This represents an uncommon manifestation of extrapulmonary tuberculosis.
Implications:
- Highlights the importance of considering tuberculosis in the differential diagnosis of wrist arthritis, even in the absence of pulmonary symptoms.
- Underscores the need for increased awareness of rare presentations of skeletal tuberculosis.
- Suggests that early diagnosis and treatment of wrist TB can prevent joint destruction and functional loss.

