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Primer Sternoklavikular Eklem Tüberkülozu: Olgu Sunumu

Year 2017, Volume: 18 Issue: 1, 55 - 57, 01.04.2017

Abstract

Yirmi-beş yaşındaki kadın hasta sağ sternoklavikular eklemde şişlik ve ağrı şikayeti ile başvurdu. Fizik muayenesinde sağ sternoklavikular eklemde şişlik ve hassasiyet saptandı. Manyetik rezonans görüntülemede bu bölgede kemik ve yumuşak dokuyu tutan kitlesel oluşum saptandı. Cerrahi debridman sonrası elde edilen materyalin histopatolojik incelemesi ile hastaya tüberküloz tanısı konularak, antitüberküloz ilaçlar ile tedavi edildi. Primer sternoklavikular eklem tüberkülozu, Mycobacterium tuberculosis basilinin neden olduğu oldukça nadir görülen bir hastalıktır. Bu bölgede görülebilen diğer hastalıklarla karışabileceği için, tanı ve tedavide gecikmeler olabilmektedir

References

  • 1. Lee SH, Abramson SB. Infections of the musculoskeletal system by M. Tuberculosis. In: Rom WN, Garay SM (editors.) Tuberculosis. New York: Little, Brown and Company, 1996: 635- 44.
  • 2. Eren Ş, Avcı A. Sternum primer tüberkülozu: Olgu sunumu.Türk Göğüs Kalp Damar Cer Derg 2010; 18: 235-7.
  • 3. Aybay C, Bağış SÖ, Karagöz A, Çakcı A, Okçu M. Omurga Tüberkulozuna (POTT Hastalığı) bağlı omurilik yaralanmalı hastaları klinik özellikleri ve rehabilitasyon sonuçları. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 1997; 22: 11-5.
  • 4. Tuli SM. Tuberculosis of rare sites, girdle and flat bones. In: Tuli SM, editor. Tuberculosis of the Skeletal System (Bones, Joints, Spine and bursal Sheaths). 2nd ed. New delhi: Yaypee Brothers medical Publishers(P) Ltd; 2000; 155-60.
  • 5. Shah J, Patkar D, Parikh B, Parmar H, Varma R, Patankar T, et al. Tuberculosis of the sternum and clavicle: Imaging findings in 15 patients. Skeletal Radiol 2000; 29: 447-53.
  • 6. Khalil A, Le Breton C, Tassart M, Korzec J, Bigot J, Carette M. Utility of CT scan for the diagnosis of chest wall tuberculosis. Eur Radiol 1999; 9: 1638-42.
  • 7. Atasoy C, Oztekin PS, Ozdemir N, Sak SD, Erden I, Akyar S. CT and MRI in tuberculosis sternal osteomyelitis: a case report. Clin Imaging 2002; 26: 112-5.
  • 8. Çakmak M, Oruç M, Balcı AE. Göğüs duvarı tüberkulozu: olgu sunumu. Fırat Tıp Dergisi 2011; 16: 209-10.
  • 9. Dhillon MS, Gupta RK, Bahadur R, Nagi ON. Tuberculosis of the sternoclavicular joints. Acta Orthop Scand 2001; 72: 514-7.
  • 10. McLellan DG, Philips KB, Corbett CE, Bronze MS. Sternal osteomyelitis caused by mycobacterium tuberculosis: case report and review of the literature. Am J Med Sci 2000; 319: 250-4.
  • 11. Kawasaki T, Sasaki Y, Shinozaki A, Bekku R, Hashimoto T, Yagi T, et al. Tuberculosis of sternoclavicular joint. Kekkaku 2007; 82: 475-9.

Primary Tuberculosis of the Sternoclavicular Joint: A Case Report

Year 2017, Volume: 18 Issue: 1, 55 - 57, 01.04.2017

Abstract

A 25-year-old woman presented with the complaints of swelling and pain in the right sternoclavicular joint. Physical examination revealed swelling and tenderness of the right sternoclavicular joint. Magnetic resonance imaging showed a mass involving the bone and the adjacent soft tissues. The patient was diagnosed with tuberculosis based on the histopathological examination of the mass obtained with surgical debridement and was treated with anti-tuberculosis drugs. Primary tuberculosis of the sternoclavicular joint is an extremely rare disease caused by Mycobacterium tuberculosis bacillus. It can be confused with other diseases which may affect this region, thereby, lead to delayed diagnosis and treatment.

References

  • 1. Lee SH, Abramson SB. Infections of the musculoskeletal system by M. Tuberculosis. In: Rom WN, Garay SM (editors.) Tuberculosis. New York: Little, Brown and Company, 1996: 635- 44.
  • 2. Eren Ş, Avcı A. Sternum primer tüberkülozu: Olgu sunumu.Türk Göğüs Kalp Damar Cer Derg 2010; 18: 235-7.
  • 3. Aybay C, Bağış SÖ, Karagöz A, Çakcı A, Okçu M. Omurga Tüberkulozuna (POTT Hastalığı) bağlı omurilik yaralanmalı hastaları klinik özellikleri ve rehabilitasyon sonuçları. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 1997; 22: 11-5.
  • 4. Tuli SM. Tuberculosis of rare sites, girdle and flat bones. In: Tuli SM, editor. Tuberculosis of the Skeletal System (Bones, Joints, Spine and bursal Sheaths). 2nd ed. New delhi: Yaypee Brothers medical Publishers(P) Ltd; 2000; 155-60.
  • 5. Shah J, Patkar D, Parikh B, Parmar H, Varma R, Patankar T, et al. Tuberculosis of the sternum and clavicle: Imaging findings in 15 patients. Skeletal Radiol 2000; 29: 447-53.
  • 6. Khalil A, Le Breton C, Tassart M, Korzec J, Bigot J, Carette M. Utility of CT scan for the diagnosis of chest wall tuberculosis. Eur Radiol 1999; 9: 1638-42.
  • 7. Atasoy C, Oztekin PS, Ozdemir N, Sak SD, Erden I, Akyar S. CT and MRI in tuberculosis sternal osteomyelitis: a case report. Clin Imaging 2002; 26: 112-5.
  • 8. Çakmak M, Oruç M, Balcı AE. Göğüs duvarı tüberkulozu: olgu sunumu. Fırat Tıp Dergisi 2011; 16: 209-10.
  • 9. Dhillon MS, Gupta RK, Bahadur R, Nagi ON. Tuberculosis of the sternoclavicular joints. Acta Orthop Scand 2001; 72: 514-7.
  • 10. McLellan DG, Philips KB, Corbett CE, Bronze MS. Sternal osteomyelitis caused by mycobacterium tuberculosis: case report and review of the literature. Am J Med Sci 2000; 319: 250-4.
  • 11. Kawasaki T, Sasaki Y, Shinozaki A, Bekku R, Hashimoto T, Yagi T, et al. Tuberculosis of sternoclavicular joint. Kekkaku 2007; 82: 475-9.
There are 11 citations in total.

Details

Other ID JA46EN49UF
Journal Section Case Report
Authors

Ebru Atalar This is me

Şerife Nilgün Kalaç This is me

Sadi Kaya This is me

Mehtap Aydın This is me

Publication Date April 1, 2017
Published in Issue Year 2017 Volume: 18 Issue: 1

Cite

EndNote Atalar E, Kalaç ŞN, Kaya S, Aydın M (April 1, 2017) Primary Tuberculosis of the Sternoclavicular Joint: A Case Report. Meandros Medical And Dental Journal 18 1 55–57.