title: Tuberculous arthritis mimicking neoplasm in a hemodialysis patient.
abstract: Hemodialysis patients are known to develop the complication of extrapulmonary tuberculosis more frequently than the general population. Tuberculous arthritis is a rare form of extrapulmonary tuberculosis and is reported to occur in approximately 1% of cases in nonuremic patients. Only 3 cases in dialysis patients, who were not proven by a bacterial culture or had died before treatment, have been reported. We report herein a culture-proven case of tuberculous arthritis developing at the sternoclavicular joint, which initially mimicked an apparent neoplasm in a hemodialysis patient. A favorable outcome was obtained after antituberculous therapy. Tuberculosis must be considered one of the most significant diagnoses in hemodialysis patients who present with a tumor-like lesion.
authors.affiliation: First Department of Medicine, Hamamatsu University School of Medicine, Japan. fukasawa@akiha.hama-med.ac.jp
authors.forename: H
authors.initials: H
authors.lastname: Fukasawa
authors.forename: H
authors.initials: H
authors.lastname: Suzuki
authors.forename: A
authors.initials: A
authors.lastname: Kato
authors.forename: T
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Fujigaki
authors.forename: K
authors.initials: K
authors.lastname: Yonemura
authors.forename: A
authors.initials: A
authors.lastname: Hishida
mesh_terms: D000368:Aged; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000209:etiology; D003928:Diabetic Nephropathies / Q000150:complications / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*; D013247:Sternoclavicular Joint / Q000473:pathology*; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000175:diagnosis*