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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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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. |
first_indexed | 2024-04-11T20:35:14Z |
format | Article |
id | doaj.art-74ff1f0fbc3942feb1b03526cfb67400 |
institution | Directory Open Access Journal |
issn | 0975-7341 |
language | English |
last_indexed | 2024-04-11T20:35:14Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Orthopedics, Traumatology and Rehabilitation |
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 |
work_keys_str_mv | AT rajukaruppal multifocalskeletaltuberculosisinnonimmunocompromisedpatientthumbinfectionasthetipofaniceberg AT sreeharisreedhar multifocalskeletaltuberculosisinnonimmunocompromisedpatientthumbinfectionasthetipofaniceberg AT asifkasim multifocalskeletaltuberculosisinnonimmunocompromisedpatientthumbinfectionasthetipofaniceberg |