title: Tubercular osteomyelitis of the lateral-third of the clavicle.
abstract: An elderly women with a chronic history of pain and swelling of the right clavicle was investigated. She also had constitutional symptoms. Clinical examination showed mild inflammatory signs over the lateral one-third of the clavicle and the swelling was hard. Clavicle X-ray showed a lytic lesion in the lateral-third of the clavicle and MRI revealed a focal hyperintense area with cortical breach involving the superior cortex of the clavicle. The diagnosis was confirmed as tubercular osteomyelitis after the biopsy, which showed chronic granulomatous inflammation, and the culture was positive for Mycobacterium tuberculosis. Pain resolved by 6 weeks, swelling by 4 months and complete radiological resolution was seen at 15 months after the initiation of antitubercular therapy. No deficit in function was seen. No relapse was noted at 1-year follow-up.
authors.affiliation: Department of Orthopaedics, S N Medical College, Agra, Uttar Pradesh, India.
authors.forename: Chandra Prakash
authors.initials: CP
authors.lastname: Pal
authors.affiliation: Department of Orthopaedics, S N Medical College, Agra, Uttar Pradesh, India.
authors.forename: Harish
authors.initials: H
authors.lastname: Kumar
authors.affiliation: Department of Orthopaedics, S N Medical College, Agra, Uttar Pradesh, India.
authors.forename: Suneel
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Orthopaedics, S N Medical College, Agra, Uttar Pradesh, India.
authors.forename: Asif
authors.initials: A
authors.lastname: Hussain
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D002968:Clavicle / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy; D011859:Radiography; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents