Tuberculosis shoulder: a diagnostic dilemma
Keywords:Tuberculosis shoulder, Biopsy, Periarteritis
Tuberculosis of the shoulder can be difficult to diagnose in the early stages. If not diagnosed early, bony tuberculosis may reduce quality of life. Therefore, tuberculosis should be suspected in cases of long standings pain in the shoulder. we report a case of a female patient presenting to us after 18 months of initiations of symptoms suggestive of periarthritis of shoulder. Failure of conservative therapy and worsening of symptoms she needed further investigation and surgical management. With Biopsy she was diagnosed tuberculosis shoulder, TB shoulder to be a case of tuberculosis shoulder. The patient had a good recovery functionally following debridement and ATT. Thus, TB shoulder can also present as a case of periarteritis shoulder making its diagnosis at early stages difficult.
Patel PR, Patel DA, Thakker T, Shah K, Shah VB. Tuberculosis of shoulder joint. Indian J Orthop. 2003;37:7.
Miller K.D. & Moore, M.E. Clin Rheumatol (1983) 2: 61. https://doi.org/10.1007/BF02032070
Chethan Nagaraj, Saurabh Singh, Baldeep Singh, Vivek Trikha, Shishir Rastogi. Tuberculosis of the shoulder joint with impingement syndrome as initial presentation. Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India J Microbiol Immunol Infect.2008;41:275-278
Deshmukh A, Deo S, Salgia AK, Agarwal T. A rare unusual case presentation of the tuberculosis of the shoulder joint. J Orthop Case Rep. 2013;3(4):23-5.
Darraj M. “Delayed Presentation of Shoulder Tuberculosis,” Case Reports in Infectious Diseases. 2018;2018: Article ID 8591075.
Rooney J.J, Crocco J.A, Kramer S, Lyons H.A: Further observations on tuberculin reactions in active tuberculosis. Am J Med. 1976;60:517-522.
Tuli SM. Tuberculosis of the skeletal system. 2nd edtion. New Delhi, Jaypee Brothers Medical Publisher (P) Ltd; 1993.
Lakhkar DL, Yadav M, Soni A, Kumar M. Unusual presentation of shoulder joint tuberculosis: A case report. Indian J Radiol Imaging. 2006;16:23-6.