Tuberculous osteomyelitis of the scapula masquerading as metastasis
<p>Tuberculosis (TB) of the scapula is an unusual presentation of musculoskeletal tuberculosis. In an endemic area, this rare presentation may become more frequent. The indolent nature of tuberculous bone and joint disease often leads to delayed or missed diagnosis. It is not uncommon...
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Format: | Article |
Language: | English |
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EduRad Publishing
2009-01-01
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Series: | Journal of Radiology Case Reports |
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Online Access: | http://www.radiologycases.com/index.php/radiologycases/article/view/103 |
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author | Ashish Singh Parangama Chatterjee |
author_facet | Ashish Singh Parangama Chatterjee |
author_sort | Ashish Singh |
collection | DOAJ |
description | <p>Tuberculosis (TB) of the scapula is an unusual presentation of musculoskeletal tuberculosis. In an endemic area, this rare presentation may become more frequent. The indolent nature of tuberculous bone and joint disease often leads to delayed or missed diagnosis. It is not uncommon for this disease to mimic malignancy. Therefore, the prompt recognition of distinguishing features is vital for correct diagnosis. In particular, imaging is a key tool in helping to make the diagnosis, through the recognition of certain key radiological patterns. However, as there are no pathognomonic imaging findings, the diagnosis rests on histopathological and microbiological confirmation. We report a case of tuberculous osteomyelitis of the scapula.This entity has not received much attention in literature. Pure tuberculous osteomyelitis involving flat membranous bone, as depicted in this report, is rare. Our patient also had an ovarian malignancy, which had decreased our index of suspicion. We therefore present this case as tuberculosis masquerading a cystic scapular metastases.</p> |
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format | Article |
id | doaj.art-aa2c3155683c4ed3823a984b2a9d0ccc |
institution | Directory Open Access Journal |
issn | 1943-0922 |
language | English |
last_indexed | 2024-04-12T19:33:22Z |
publishDate | 2009-01-01 |
publisher | EduRad Publishing |
record_format | Article |
series | Journal of Radiology Case Reports |
spelling | doaj.art-aa2c3155683c4ed3823a984b2a9d0ccc2022-12-22T03:19:16ZengEduRad PublishingJournal of Radiology Case Reports1943-09222009-01-0131273110.3941/jrcr.v3i1.103Tuberculous osteomyelitis of the scapula masquerading as metastasisAshish SinghParangama Chatterjee<p>Tuberculosis (TB) of the scapula is an unusual presentation of musculoskeletal tuberculosis. In an endemic area, this rare presentation may become more frequent. The indolent nature of tuberculous bone and joint disease often leads to delayed or missed diagnosis. It is not uncommon for this disease to mimic malignancy. Therefore, the prompt recognition of distinguishing features is vital for correct diagnosis. In particular, imaging is a key tool in helping to make the diagnosis, through the recognition of certain key radiological patterns. However, as there are no pathognomonic imaging findings, the diagnosis rests on histopathological and microbiological confirmation. We report a case of tuberculous osteomyelitis of the scapula.This entity has not received much attention in literature. Pure tuberculous osteomyelitis involving flat membranous bone, as depicted in this report, is rare. Our patient also had an ovarian malignancy, which had decreased our index of suspicion. We therefore present this case as tuberculosis masquerading a cystic scapular metastases.</p>http://www.radiologycases.com/index.php/radiologycases/article/view/103Tuberculosis, osteomyelitis |
spellingShingle | Ashish Singh Parangama Chatterjee Tuberculous osteomyelitis of the scapula masquerading as metastasis Journal of Radiology Case Reports Tuberculosis, osteomyelitis |
title | Tuberculous osteomyelitis of the scapula masquerading as metastasis |
title_full | Tuberculous osteomyelitis of the scapula masquerading as metastasis |
title_fullStr | Tuberculous osteomyelitis of the scapula masquerading as metastasis |
title_full_unstemmed | Tuberculous osteomyelitis of the scapula masquerading as metastasis |
title_short | Tuberculous osteomyelitis of the scapula masquerading as metastasis |
title_sort | tuberculous osteomyelitis of the scapula masquerading as metastasis |
topic | Tuberculosis, osteomyelitis |
url | http://www.radiologycases.com/index.php/radiologycases/article/view/103 |
work_keys_str_mv | AT ashishsingh tuberculousosteomyelitisofthescapulamasqueradingasmetastasis AT parangamachatterjee tuberculousosteomyelitisofthescapulamasqueradingasmetastasis |