Tuberculous arthritis mimicking neoplasm in a hemodialysis patient.
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.
Fukasawa
H
H
First Department of Medicine, Hamamatsu University School of Medicine, Japan. fukasawa@akiha.hama-med.ac.jp
Suzuki
H
H
Kato
A
A
Yamamoto
T
T
Fujigaki
Y
Y
Yonemura
K
K
Hishida
A
A
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*