title: Tuberculosis of the scapula.
abstract: Tuberculosis (TB) of the scapula is an extremely rare presentation of osteoarticular tuberculosis. In a tuberculosis endemic setting with a rising burden of acquired immunodeficiency syndrome, this rare presentation may become more frequent. The common presentation is with longstanding Complaints of pain and swelling in the shoulder region, typically in young adults. Classic radiographic features include a well defined radiolucent lesion with minimal sequesteration. The erythrocyte sedimentation rate is usually elevated and initially these patients are frequently mis-diagnosed and thus a high index of clinical suspicion is required. Medical therapy with antituberculous drugs is the standard modality of treatment. This case serves to higlight the salient features of scapular TB.
authors.affiliation: Department of Radiology, Aga Khan University Hospital, Karachi.
authors.forename: Yousuf A
authors.initials: YA
authors.lastname: Husen
authors.forename: Naila
authors.initials: N
authors.lastname: Nadeem
authors.forename: Fawad
authors.initials: F
authors.lastname: Aslam
authors.forename: Muhammad Ali
authors.initials: MA
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011859:Radiography; D012540:Scapula; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000188:drug therapy*
chemical_list: D000904:Antibiotics, Antitubercular