Kizildag Betul, Sener Alper, Komurcu Erkam, Karatag Ozan, Kosar Sule
Department of Radiology, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey.
BMJ Case Rep. 2013 Aug 23;2013:bcr2013200592. doi: 10.1136/bcr-2013-200592.
The musculoskeletal system involvement of tuberculosis (TB) other than spinal TB is a rare and less-known entity. Furthermore symptoms of musculoskeletal involvement of TB infection are non-specific, relatively slow and indolent. The diagnosis of TB is less considered by clinicians among other common causes of shoulder pain including traumatic and degenerative conditions. We reported a 72-year-old patient suffering shoulder pain for the last 2 years who was diagnosed with glenohumeral joint TB arthritis associated with multiple cold abscesses in adjacent soft tissues; emphasising significant clinical and imaging findings.
除脊柱结核外,结核病累及肌肉骨骼系统是一种罕见且鲜为人知的情况。此外,结核感染累及肌肉骨骼系统的症状不具有特异性,相对缓慢且隐匿。在包括创伤性和退行性疾病在内的其他常见肩部疼痛原因中,临床医生较少考虑结核病的诊断。我们报告了一名72岁的患者,在过去两年中一直遭受肩部疼痛,被诊断为肱盂关节结核性关节炎,并伴有相邻软组织的多个寒性脓肿;强调了显著的临床和影像学表现。