Tuberculosis of Shoulder – Joint An Unusual Case Presentation

Although skeletal tuberculosis is most common form of extra pulmonary infection, tuberculosis of the shoulder is a rare disorder with male predominance. Tuberculous involvement of glenoid with relative sparing of humerus is further rare presentation. A young man presented to outpatient clinic with l...

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Main Author: Rahul Dev
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2018-07-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=July&volume=7&issue=3&page=RC04-RC06&id=2399
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author Rahul Dev
author_facet Rahul Dev
author_sort Rahul Dev
collection DOAJ
description Although skeletal tuberculosis is most common form of extra pulmonary infection, tuberculosis of the shoulder is a rare disorder with male predominance. Tuberculous involvement of glenoid with relative sparing of humerus is further rare presentation. A young man presented to outpatient clinic with long standing history of gradual onset, progressive pain and limited range of active movements involving right shoulder joint. Clinical examination revealed fullness in anterior axilla with palpable axillary lymphadenopathy. The laboratory examination revealed raised ESR and lymphocytosis. MRI findings revealed bony destruction involving glenoid with extensive enhancing synovial proliferation and cold abscess formation in joint, focal involvement of humeral head and axillary lymphadenopathy. The patient was started on antitubercular treatment and responded well till follow-up was done.
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spelling doaj.art-bc4871e978ea495db9a4f38d2abf93cc2022-12-22T00:17:16ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742018-07-0173RC04RC0610.7860/IJARS/2018/36005:2399Tuberculosis of Shoulder – Joint An Unusual Case PresentationRahul Dev0Assistant Professor, Department of Radiology and Imaging, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.Although skeletal tuberculosis is most common form of extra pulmonary infection, tuberculosis of the shoulder is a rare disorder with male predominance. Tuberculous involvement of glenoid with relative sparing of humerus is further rare presentation. A young man presented to outpatient clinic with long standing history of gradual onset, progressive pain and limited range of active movements involving right shoulder joint. Clinical examination revealed fullness in anterior axilla with palpable axillary lymphadenopathy. The laboratory examination revealed raised ESR and lymphocytosis. MRI findings revealed bony destruction involving glenoid with extensive enhancing synovial proliferation and cold abscess formation in joint, focal involvement of humeral head and axillary lymphadenopathy. The patient was started on antitubercular treatment and responded well till follow-up was done.http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=July&volume=7&issue=3&page=RC04-RC06&id=2399fulminantglenohumeral jointskeletal tuberculosissynovial proliferation
spellingShingle Rahul Dev
Tuberculosis of Shoulder – Joint An Unusual Case Presentation
International Journal of Anatomy Radiology and Surgery
fulminant
glenohumeral joint
skeletal tuberculosis
synovial proliferation
title Tuberculosis of Shoulder – Joint An Unusual Case Presentation
title_full Tuberculosis of Shoulder – Joint An Unusual Case Presentation
title_fullStr Tuberculosis of Shoulder – Joint An Unusual Case Presentation
title_full_unstemmed Tuberculosis of Shoulder – Joint An Unusual Case Presentation
title_short Tuberculosis of Shoulder – Joint An Unusual Case Presentation
title_sort tuberculosis of shoulder joint an unusual case presentation
topic fulminant
glenohumeral joint
skeletal tuberculosis
synovial proliferation
url http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=July&volume=7&issue=3&page=RC04-RC06&id=2399
work_keys_str_mv AT rahuldev tuberculosisofshoulderjointanunusualcasepresentation