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. 2014:2014:685406.
doi: 10.1155/2014/685406. Epub 2014 Oct 20.

Multicentric spinal tuberculosis with sternoclavicular joint involvement: a rare presentation

Balaji Saibaba  1 , Umesh Kumar Meena  2 , Prateek Behera  1 , Ramesh Chand Meena  2
Affiliations

Multicentric spinal tuberculosis with sternoclavicular joint involvement: a rare presentation

Balaji Saibaba et al. Case Rep Pulmonol. 2014.

Abstract

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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Figures

Figure 1
Figure 1
Clinical picture showing erythematous swelling over right sternoclavicular joint region.
Figure 2
Figure 2
Radiology of patient showing diffuse pulmonary infiltrate along with destruction with sclerosis on the medial end of the right clavicle.
Figure 3
Figure 3
MRI images showing involvement of sternoclavicular joint along with dorsal and upper cervical involvement.
See this image and copyright information in PMC

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