title: Tuberculosis of the shoulder joint with impingement syndrome as initial presentation.
abstract: Tuberculosis of the shoulder can be difficult to diagnose in the early stages. If not diagnosed early, bony tuberculosis may reduce quality of life. Therefore, tuberculosis should be suspected in cases of long-standing pain in the shoulder. It is necessary to keep tuberculosis in the differential diagnosis of impingement syndrome of the shoulder. We report a young patient presenting with features suggestive of impingement syndrome. After failure to improve with adequate therapy, the patient was further investigated and diagnosed as having early tuberculosis of the shoulder joint. The patient had good clinical recovery with conservative management. The importance of considering early tuberculosis as a differential diagnosis in impingement syndrome is highlighted.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Chethan
authors.initials: C
authors.lastname: Nagaraj
authors.forename: Saurabh
authors.initials: S
authors.lastname: Singh
authors.forename: Baldeep
authors.initials: B
authors.lastname: Singh
authors.forename: Vivek
authors.initials: V
authors.lastname: Trikha
authors.forename: Shishir
authors.initials: S
authors.lastname: Rastogi
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D011859:Radiography; D019534:Shoulder Impingement Syndrome / Q000175:diagnosis*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D014376:Tuberculosis / Q000175:diagnosis*
chemical_list: D000995:Antitubercular Agents