title: Multifocal tuberculosis presenting with osteoarticular and breast involvement.
abstract: BACKGROUND
  Polyarticular involvement, wrist and ankle arthritis are uncommon presentation of skeletal tuberculosis. Tuberculosis of the breast is also extremely rare.
  
  
  METHODS
  Wrist, ankle and breast involvement were detected in the same patient. Mycobacterium tuberculosis was isolated from both synovial and breast biopsy specimen cultures.
  
  
  CONCLUSIONS
  In general, tuberculosis arthritis is a frequently missed diagnosis, especially in different clinical patterns. A high level of suspicion is required particularly in high-risk populations and endemic areas.
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. aerbay@superonline.com
authors.forename: Hurrem
authors.initials: H
authors.lastname: Bodur
authors.forename: Ayse
authors.initials: A
authors.lastname: Erbay
authors.forename: Hatice
authors.initials: H
authors.lastname: Bodur
authors.forename: Ozlem
authors.initials: O
authors.lastname: Yilmaz
authors.forename: Sezer
authors.initials: S
authors.lastname: Kulacoglu