Rare septic arthritis of the wrist and carpus primary osteoarticular manifestation of Mycobacterium tuberculosis: A case report

Abstract

Mycobacterium tuberculosis is one of the oldest and most studied infections, yet it remains one of the most common causes of infection-related death worldwide. The majority concern pulmonary tuberculosis. Therefore, extrapulmonary cases are rare and are often neglected in the differential diagnosis, especially in chronic musculoskeletal complaints. Nevertheless, osteoarticular manifestation of tuberculosis can cause disabling destruction of bone, cartilage, and surrounding soft tissues which may be exacerbated by a delay in diagnosis. This case report documents a case of primary osteoarticular tuberculosis causing septic arthritis of the wrist and carpus. In our case, the patient had no pulmonary burden of tuberculosis, which further delayed diagnosis and lead to irreversible damage to the wrist as well as carpus. This case illustrates the need to consider this diagnosis in at risk populations in order to prevent a delay in diagnosis and treatment.

Tuberculosis infection of the ischium in a patient with poorly controlled diabetes mellitus: A case report

“…Occasionally, tuberculosis lesions may be subtle or inconspicuous on CT images [12]. A negative culture for Mycobacterium tuberculosis does not completely rule out the possibility of tuberculosis [13]. Although sputum smear and culture are common methods for diagnosing pulmonary tuberculosis, they are not the only diagnostic tools available.…”

Recurrence of tuberculous tenosynovitis in wrist tendon of a butcher: rare case report

“…Only 1–5% of TB patients, according to prior research, had musculoskeletal symptoms that have been reported. The majority of cases of osteoarticular TB affect the main weight-bearing joints, with the lumbar vertebral bodies being the most frequent location, followed by the hips and then the knees [ 4 , 5 ]. In the current case, the TB tenosynovitis was present in the wrist joint.…”