Multicentric spinal tuberculosis with sternoclavicular joint involvement: a rare presentation.
Background. Tuberculosis is a chronic disease which may have varied presentations. Though pulmonary tuberculosis is the commonest, extrapulmonary tuberculosis involving skeletal system is often seen. Individuals with poor nourishment and immunological status are especially susceptible for disseminated and multicentric tuberculosis. Case Report. We here present a case of tuberculosis involving multiple anatomical locations in an immune-competent patient which was diagnosed with radiological studies and confirmed with histological examination. Patient was put on multidrug antitubercular therapy and responded well to the treatment with improvement in clinical and radiological picture. Clinical Relevance. This report of a rare case makes us aware of the varied presentations which tuberculosis can present with. It should be kept as a differential diagnosis in patients with cough and fever but not responding to conventional treatment. This is even more important in countries with poor socioeconomic conditions.
Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan 302004, India.
Balaji
0000-0002-3027-143X
B
Saibaba
Department of Orthopaedics, SMS Medical College and Hospital, Jaipur 302004, India.
Umesh Kumar
UK
Meena
Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan 302004, India.
Prateek
0000-0001-6731-7211
P
Behera
Department of Orthopaedics, SMS Medical College and Hospital, Jaipur 302004, India.
Ramesh Chand
RC
Meena