title: [Differential diagnosis of sternoclavicular arthritis].
abstract: A 47-year-old male patient presented with a 6-month history of a painful swelling in the region of the right sternoclavicular joint together with fatigue. Initial investigations including X-rays of the sternoclavicular joint did not reveal any pathological conditions. Eventually, a CT scan revealed marked joint destruction, pulmonary condensation, and enlargement of the adrenal glands. Subsequent procedures, such as joint fluid aspiration and bronchoalveolar lavage, proved to be positive for Mycobacterium tuberculosis. After initiation of a standard combination therapy (four tuberculostatic drugs) the general condition of the patient stabilized and he was discharged from hospital after 4 weeks.
authors.affiliation: Klinik für Gastroenterologie und Rheumatologie, Sektion Rheumatologie/Gerontologie, Universitätsklinikum Leipzig AöR, Liebigstraße 20, 04103, Leipzig, Deutschland. stephan.thrum@medizin.uni-leipzig.de.
authors.forename: S
authors.initials: S
authors.lastname: Thrum
authors.affiliation: Klinik für Gastroenterologie und Rheumatologie, Sektion Rheumatologie/Gerontologie, Ambulanz für Tropen- und Infektionsmedizin, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Trawinski
authors.affiliation: Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Ewens
authors.affiliation: Klinik für Gastroenterologie und Rheumatologie, Sektion Rheumatologie/Gerontologie, Universitätsklinikum Leipzig AöR, Liebigstraße 20, 04103, Leipzig, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Baerwald
mesh_terms: D000995:Antitubercular Agents / Q000008:administration & dosage; D001168:Arthritis / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013247:Sternoclavicular Joint / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents
keywords: Adrenal glands; Monarthritis; Mycobacteria; Sternoclavicular joint; Tuberculosis