American Journal of Medical Case Reports. 2015, 3(5), 146-147
DOI: 10.12691/AJMCR-3-5-8
Tuberculosis - An Atypical Presentation
A Elmorsy1, , A. Clark-Morgan2 and G. Shergill2
1Department of Trauma and Orthopaedics, Royal Surrey County, Guildford, UK
2Department of Trauma and Orthopaedics, Salisbury District Hospital, Salisbury, UK
Pub. Date: April 23, 2015
Cite this paper
A Elmorsy, A. Clark-Morgan and G. Shergill. Tuberculosis - An Atypical Presentation.
American Journal of Medical Case Reports. 2015; 3(5):146-147. doi: 10.12691/AJMCR-3-5-8
Abstract
Although endemic to the United Kingdom in the 19th and 20th centuries, cases of Tuberculosis have increased in the last twenty years making it an important differential diagnosis to consider. The recurrence of this almost extinct disease is thought to be a result of increasing prevalence of immune system deficiency, particularly Acquired Immunodeficiency Syndrome (AIDS). Musculoskeletal tuberculosis, particularly of a joint, remains a rare condition - accounting for less than 5% of cases of tuberculosis. Symptoms are mild and/or non-specific, making delayed or missed diagnosis a common problem. Here we present the unusual case of tuberculosis of the elbow to maintain consideration of tuberculosis as a differential diagnosis, even in cases with no strong suggestive medical history.
Keywords
tuberculosis, elbow joint, musculoskeletal tuberculosis
Copyright
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References
[1] | Khan K, Muenning P, Bheta M, Zivin JG. Global drug-resistance patterns and the management of latent tuberculosis infection in immigrants to the United States. N Engl J Med 2002; 347:1850-9. |
|
[2] | Tuli SM. General principles of osteoarticular tuberculosis. Clin Orthop 2002: 11-19. |
|
[3] | Rahman MS, Brar R, Konchwalla A, Sala MJ. Pain in the elbow: a rare presentation of skeletal tuberculosis. J Shoulder Elbow Surg 2008; 17(1) : e19-21. |
|
[4] | Jung SS, Lee MK, Lim SH, Kwon YM, Choi SS Elbow pain proven to be tuberculous arthritis – a case report. Korean J Anesthesiology 2010; 58: 211-14. |
|
[5] | Mandeep S Dhillon, Akshay Goel, Sharad Parghkar, Sameer Aggerwal, and Vikas Bachhal. Tuberculosis of the elbow: A clinicoradiological analysis. Indian J Orthop. 2012 Mar-Apr; 46(2): 200-205. |
|
[6] | Patel S, Collins DA, Bourke BE. Don’t forget tuberculosis. Ann Rheum Dis.1995; 54: 174-5. |
|
[7] | Domingo A, Nomdedeu M, Tomas X, Garcia S. Elbow tuberculosis; And unusual location and a diagnostic problem. Arch Orthop Trauma Surg. 2005;125: 56-8. |
|