Isolated scapular tuberculosis: an uncommon presentation of skeletal tuberculosis

Yıl 2018, Cilt: 4 Sayı: 4, 289 - 293, 04.10.2018

Ghanshyam Dev Shwait Sharma Mohd Ilyas

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

Öz

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. 

Anahtar Kelimeler

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

Kaynakça

• [1] Alvarez de Sierra Garcia B, Exposito Jimenez D, Bueno Horcajadas A, Olmedilla P, Sanz-Merino A, Martel Villagran J. Radiologic assessment of scapular region: US, MDCT and MR features. ECR 2012: C-1080, Madrid, Spain.
• [2] Singh A, Chatterjee P, Pai MC, Chacko RT. Tuberculous osteomyelitis of the scapula masquerading as metastasis. J Radiol Case 2009;3:27-31.
• [3] Mohan V, Danielsson L, Hosni G, Gupta RP. A case of tuberculosis of the scapula. Acta Orthop Scand 1991;62:79-80.
• [4] Arriaza BT, Salo W, Aufderheide AC, Holcomb TA. Pre-Columbian tuberculosis in northern Chile: molecular and skeletal evidence. Am J Phys Anthropol 1995;98:37-45.
• [5] Tuli SM. Tuberculosis of the Skeletal System (bones, joints, spine and bursal sheaths). 1st edn. Jaypee Brothers Medical Publishers (P) Ltd: New Delhi (India), 1993., p.121.
• [6] Tsay MH, Chen MC, Jaung GY, Pang KK, Chen BF. Atypical skeletal tuberculosis mimicking tumor metastasis: report of a case. J Formos Med Assoc 1995; 94:428-31.
• [7] Balaji G, Arockiaraj J, Roy AC, Ashok A. Isolated tubercular osteomyelitis of scapula – A report of two cases and review of literature. J Orthop Case Rep 2013;3:7-11.
• [8] Teo HE, Peh WC. Skeletal tuberculosis in children. Pediatr Radiol 2004;34:853-60.
• [9] Martini M, Adjrad A, Boudjemaa A. Tuberculous osteomyelitis. A review of 125 cases. Int Orthop 1986;10:201-7.
• [10] Khan SA, Zahid M, Sharma B, Hasan AS. Tuberculosis of frontal bone: a case report. Indian J Tub 2001;48:95-6.
• [11] Tripathy SK, Sen RK, Sharma A, Tamuk T. Isolated cystic tuberculosis of scapula: case report and review of literature. J Orthop Surg Res 2010;5:72.
• [12] Kam WL, Leung YF, Chung OM, Wai YL. Tuberculous osteomyelitis of the scapula. Int Orthop 2000;24:301-2.