open access

Vol 79, No 6 (2011)
CASE REPORTS
Published online: 2011-10-25
Submitted: 2013-02-22
Get Citation

Tuberculosis of shoulder bone

Dorota Michałowska-Mitczuk, Katarzyna Błasińska-Przerwa
Pneumonol Alergol Pol 2011;79(6):437-441.

open access

Vol 79, No 6 (2011)
CASE REPORTS
Published online: 2011-10-25
Submitted: 2013-02-22

Abstract

We present a case of 39-year old man in whom after one year of corticotherapy due to suspicion of lung sarcoidosis, pathologic changes in left shoulder bone were diagnosed. Bone biopsy was carried out with subsequent development of skin fistula with matter drainage. Based on histological examination of bone specimen and bacteriological tests — tuberculosis was diagnosed. Patient received typical antituberculous therapy for 6 months resulting in healing of the fistula. After next 6 months new fistula developed within the muscles of the left arm. Examination by magnetic resonance revealed changes suggestive of tuberculosis of the left shoulder bone with the presence of two fistulas and abscess in the muscle.
The patient received another course of antituberculous treatment and the content of fistula was removed. After 8 months of therapy fistula was healed while changes in shoulder bone regressed only partially, so the therapy was prolonged until 12 month.
Pneumonol. Alergol. Pol. 2011; 79, 6: 437–441

Abstract

We present a case of 39-year old man in whom after one year of corticotherapy due to suspicion of lung sarcoidosis, pathologic changes in left shoulder bone were diagnosed. Bone biopsy was carried out with subsequent development of skin fistula with matter drainage. Based on histological examination of bone specimen and bacteriological tests — tuberculosis was diagnosed. Patient received typical antituberculous therapy for 6 months resulting in healing of the fistula. After next 6 months new fistula developed within the muscles of the left arm. Examination by magnetic resonance revealed changes suggestive of tuberculosis of the left shoulder bone with the presence of two fistulas and abscess in the muscle.
The patient received another course of antituberculous treatment and the content of fistula was removed. After 8 months of therapy fistula was healed while changes in shoulder bone regressed only partially, so the therapy was prolonged until 12 month.
Pneumonol. Alergol. Pol. 2011; 79, 6: 437–441
Get Citation

Keywords

extrapulmonary tuberculosis; tuberculosis of bones and joints; magnetic resonance

About this article
Title

Tuberculosis of shoulder bone

Journal

Advances in Respiratory Medicine

Issue

Vol 79, No 6 (2011)

Pages

437-441

Published online

2011-10-25

Bibliographic record

Pneumonol Alergol Pol 2011;79(6):437-441.

Keywords

extrapulmonary tuberculosis
tuberculosis of bones and joints
magnetic resonance

Authors

Dorota Michałowska-Mitczuk
Katarzyna Błasińska-Przerwa

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