DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20203739

Tuberculosis of sternoclavicular joint: a rare case report

Atil Kumar Lal, Sudhir Shyam Kushwaha, Ajay Bharti, Mahima Pandey

Abstract


Osteoarticular tuberculosis comprises 10-15% of the all cases of extrapulmonary tuberculosis. Tubercular involvement of the sternoclavicular joint is very rare. We hereby present a rare case report of the 38 year old female with sternoclavicular joint tuberculosis with cold abscess. The diagnosis was confirmed by FNAC and on ZN staining AFB was isolated. Patient was managed successfully by the anti-tubercular therapy at the end of the treatment. So, a degree of suspicion of the tuberculosis at these rare sites along with investigation followed by anti-tubercular therapy leads to successful treatment of the disease.


Keywords


FNAC, Sternoclavicular joint tuberculosis, ZN staining

Full Text:

PDF

References


Shrivastav A, Pal J, Karmarakar P, Debnath NB. Tuberculosis of sternoclavicular joint uncommon manifestation of a common disease. J Med. 2010;11:102-104.

Mandell GL, Bennett JE, Dolin R. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. Philadelphia, Pa: Churchill Livingstone; 1995:2231–43.

Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am. 1996;78:288-298.

Sy MH, Konaté I, Gassama A, Kane A, Sèye S. Monoarticular/ sternoclavicular arthritic tuberculosis: a proposal and an observation. Int J Tuberc Lung Dis. 2000;4:486-7.

Tuli SM. Tuberculosis of the skeletal system. 2nd ed. New Delhi: Jaypee brothers medical publishers; 1997:155.

Martini M. Tuberculosis of bones and joints. Heidelberg: Springer-Verlag; 1988:149-150.

Dhillon MS, Gupta RK, Bahadur R. Tuberculosis of the sternoclavicular joints. Acta Orthop Scand. 2001;72:514-517.