Isolated scapular tuberculosis: an uncommon presentation of skeletal tuberculosis

Year 2018, Volume: 4 Issue: 4, 289 - 293, 04.10.2018

Ghanshyam Dev Shwait Sharma Mohd Ilyas

https://doi.org/10.18621/eurj.387051

Abstract

Objective: The main objective of the study was to evaluate the
radiological manifestations of isolated scapular tuberculosis.

Methods:
A prospective study was performed wherein 50 patients with the complaint of
swelling in the scapular region were evaluated using various imaging modalities
for scapular tuberculosis. Patients having features of scapular tuberculosis
were subjected to fine needle aspiration
cytology (FNAC) and
histopathology for confirmation of diagnosis.

Results: Four patients
were diagnosed as having isolated scapular tuberculosis. All the four patients
presented with lytic lesions in scapula with associated collections in adjacent
muscles. All were subjected to anti-tuberculosis
therapy (ATT). In two
patients drainage of abscess was done. All patients showed excellent response to
treatment at 6 months follow-up.

Conclusion: Radiological
investigations play a key role in early diagnosis of isolated scapular
tuberculosis with excellent outcome with ATT and drainage of collection. 

Keywords

Tuberculosis, lytic lesion, scapula, anti-tuberculosis therapy, musculoskeletal infections

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