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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Main Authors: Ashish Singh, Parangama Chatterjee
Format: Article
Language:English
Published: EduRad Publishing 2009-01-01
Series:Journal of Radiology Case Reports
Subjects:
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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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