Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg

Tuberculosis (TB) of the musculoskeletal system is not an uncommon clinical condition. Multifocal osseous involvement is often rare and difficult to recognize. Because of the diverse and atypical clinical manifestations, it is easily misdiagnosed in many situations. The present study reports a case...

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Main Authors: Raju Karuppal, Sreehari Sreedhar, Asif Kasim
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=149;epage=151;aulast=Karuppal
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author Raju Karuppal
Sreehari Sreedhar
Asif Kasim
author_facet Raju Karuppal
Sreehari Sreedhar
Asif Kasim
author_sort Raju Karuppal
collection DOAJ
description Tuberculosis (TB) of the musculoskeletal system is not an uncommon clinical condition. Multifocal osseous involvement is often rare and difficult to recognize. Because of the diverse and atypical clinical manifestations, it is easily misdiagnosed in many situations. The present study reports a case of multifocal skeletal TB masquerading as septic arthritis of the interphalangeal joint of the thumb. Because of the high prevalence of TB in developing countries, chronic osteoarticular infective lesions are to be considered as TB unless proved otherwise. The importance of clinical suspicion, systematic investigation, and the role of a biopsy in the diagnosis of skeletal TB is emphasized in this study.
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spelling doaj.art-74ff1f0fbc3942feb1b03526cfb674002022-12-22T04:04:24ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412021-01-0113214915110.4103/jotr.jotr_30_20Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an icebergRaju KaruppalSreehari SreedharAsif KasimTuberculosis (TB) of the musculoskeletal system is not an uncommon clinical condition. Multifocal osseous involvement is often rare and difficult to recognize. Because of the diverse and atypical clinical manifestations, it is easily misdiagnosed in many situations. The present study reports a case of multifocal skeletal TB masquerading as septic arthritis of the interphalangeal joint of the thumb. Because of the high prevalence of TB in developing countries, chronic osteoarticular infective lesions are to be considered as TB unless proved otherwise. The importance of clinical suspicion, systematic investigation, and the role of a biopsy in the diagnosis of skeletal TB is emphasized in this study.http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=149;epage=151;aulast=Karuppalmultifocal tuberculosisosteolytic lesionosteomyelitisskeletal tuberculosissmall bone tuberculosis
spellingShingle Raju Karuppal
Sreehari Sreedhar
Asif Kasim
Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
Journal of Orthopedics, Traumatology and Rehabilitation
multifocal tuberculosis
osteolytic lesion
osteomyelitis
skeletal tuberculosis
small bone tuberculosis
title Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
title_full Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
title_fullStr Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
title_full_unstemmed Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
title_short Multifocal skeletal tuberculosis in nonimmunocompromised patient: Thumb infection as the tip of an iceberg
title_sort multifocal skeletal tuberculosis in nonimmunocompromised patient thumb infection as the tip of an iceberg
topic multifocal tuberculosis
osteolytic lesion
osteomyelitis
skeletal tuberculosis
small bone tuberculosis
url http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=149;epage=151;aulast=Karuppal
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AT sreeharisreedhar multifocalskeletaltuberculosisinnonimmunocompromisedpatientthumbinfectionasthetipofaniceberg
AT asifkasim multifocalskeletaltuberculosisinnonimmunocompromisedpatientthumbinfectionasthetipofaniceberg