[Tuberculosis of shoulder bone].
We present a case of 39-year old man in whom after one year of corticotherapy due to suspicion of lung sarcoidosis, pathologic changes in left shoulder bone were diagnosed. Bone biopsy was carried out with subsequent development of skin fistula with matter drainage. Based on histological examination of bone specimen and bacteriological tests - tuberculosis was diagnosed. Patient received typical antituberculous therapy for 6 months resulting in healing of the fistula. After next 6 months new fistula developed within the muscles of the left arm. Examination by magnetic resonance revealed changes suggestive of tuberculosis of the left shoulder bone with the presence of two fistulas and abscess in the muscle. The patient received another course of antituberculous treatment and the content of fistula was removed. After 8 months of therapy fistula was healed while changes in shoulder bone regressed only partially, so the therapy was prolonged until 12 month.
Przychodnia Przykliniczna Instytutu Gruźlicy i Chorób Płuc w Warszawie. d.mitczuk@igichp.edu.pl
Dorota
D
Michałowska-Mitczuk
Katarzyna
K
Błasińska-Przerwa
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D017577:Cutaneous Fistula / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D012782:Shoulder; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*
D000995:Antitubercular Agents