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Titolo:
Tuberculosis of the sternoclavicular joint - Report of two cases
Autore:
Bezza, A; Niamane, R; Benbouazza, K; El Maghraoui, A; Lazrak, N; Kettani, M; Missaoui, A; Bensabbah, R; Rhazali, L; Hassouni, F; Mohattane, A; Hajjaj-Hassouni, N;
Indirizzi:
Hop Cochin, Serv Rhumatol B, F-75679 Paris 14, France Hop Cochin Paris France 14 in, Serv Rhumatol B, F-75679 Paris 14, France
Titolo Testata:
REVUE DU RHUMATISME
fascicolo: 12, volume: 65, anno: 1998,
pagine: 791 - 794
SICI:
1169-8446(199812)65:12<791:TOTSJ->2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
OSTEOARTICULAR TUBERCULOSIS; ARTHRITIS; BONE;
Keywords:
tuberculosis; sterno-clavicular joint;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Bezza, A HopFrancen, Serv Rhumatol B, 27 Rue Faubourg St Jacques, F-75679 Paris 14, Hop Cochin 27 Rue Faubourg St Jacques Paris France 14 Paris 14,
Citazione:
A. Bezza et al., "Tuberculosis of the sternoclavicular joint - Report of two cases", REV RHUM, 65(12), 1998, pp. 791-794

Abstract

The sternoclavicular joint accounts for only 1 to 2% of all cases of peripheral tuberculous arthritis and is more often infected by pyogenic organisms than by the tubercle bacillus, We report two cases of sternoclavicular joint tuberculosis, in a 38-year-old man and a 46-year-old woman without riskfactors for immune deficiency. Swelling of the joint was the presenting manifestation, Laboratory tests indicated inflammation in only one of the patients. The intradermal tuberculin test was strongly positive in both patients, whereas smears and cultures of sputum and urine samples were negative for the tubercle bacillus, Serologic tests for the human immunodeficiency virus were negative, Erosions of the affected joint were seen by computed tomography, Histological studies of a surgical biopsy specimen confirmed the diagnosis, Cultures of the biopsy specimens were negative. The outcome was favorable after treatment with rifampin, isoniazid and pyrazinamide for six months in the man and nine in the woman. follow-ups were eight and six months, respectively, at the time of this writing. Tuberculosis of the sternoclavicular joint is extraordinarily rare and can raise diagnostic problems. The diagnosis should be considered in every patient with arthritis in a sternoclavicular joint or unexplained pain in a shoulder. Possible complications include compression or erosion of the large blood vessels at the base of the neck and migration of tuberculous abscesses to the mediastinum.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 18:22:13