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 disseminat...

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Main Authors: Balaji Saibaba, Umesh Kumar Meena, Prateek Behera, Ramesh Chand Meena
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2014/685406
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author Balaji Saibaba
Umesh Kumar Meena
Prateek Behera
Ramesh Chand Meena
author_facet Balaji Saibaba
Umesh Kumar Meena
Prateek Behera
Ramesh Chand Meena
author_sort Balaji Saibaba
collection DOAJ
description 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.
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institution Kabale University
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publishDate 2014-01-01
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series Case Reports in Pulmonology
spelling doaj-art-142ac9b905bd4703881fd9a0633d25d22025-02-03T01:31:56ZengWileyCase Reports in Pulmonology2090-68462090-68542014-01-01201410.1155/2014/685406685406Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare PresentationBalaji Saibaba0Umesh Kumar Meena1Prateek Behera2Ramesh Chand Meena3Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan 302004, IndiaDepartment of Orthopaedics, SMS Medical College and Hospital, Jaipur 302004, IndiaDepartment of Orthopaedics, SMS Medical College, Jaipur, Rajasthan 302004, IndiaDepartment of Orthopaedics, SMS Medical College and Hospital, Jaipur 302004, IndiaBackground. 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.http://dx.doi.org/10.1155/2014/685406
spellingShingle Balaji Saibaba
Umesh Kumar Meena
Prateek Behera
Ramesh Chand Meena
Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
Case Reports in Pulmonology
title Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
title_full Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
title_fullStr Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
title_full_unstemmed Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
title_short Multicentric Spinal Tuberculosis with Sternoclavicular Joint Involvement: A Rare Presentation
title_sort multicentric spinal tuberculosis with sternoclavicular joint involvement a rare presentation
url http://dx.doi.org/10.1155/2014/685406
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AT prateekbehera multicentricspinaltuberculosiswithsternoclavicularjointinvolvementararepresentation
AT rameshchandmeena multicentricspinaltuberculosiswithsternoclavicularjointinvolvementararepresentation