Osteoarticular multifocal tuberculosis without lung disease

Authors

  • José Luis Cantos-González Servicio de Medicina Interna, Hospital Universitario Doctor Peset, Valencia, Spain
  • Andrés Esteban Salazar-Molina Servicio de Medicina Intensiva, Hospital Universitario Doctor Peset, Valencia, Spain
  • Arturo Artero-Mora Servicio de Medicina Interna, Hospital Universitario Doctor Peset, Valencia, Spain
  • Rafael Zaragoza-Crespo Servicio de Medicina Intensiva, Hospital Universitario Doctor Peset, Valencia, España

DOI:

https://doi.org/10.32818/reccmi.a4n3a6

Keywords:

osteoarticular tuberculosis

Abstract

Osteoarticular tuberculosis is an uncommon form of extrapulmonary tuberculosis, representing a true diagnostic challenge due to its atypical presentation and its similarity to neoplastic osteolytic processes. We reported a 36-year-old male from Pakistan, immunocompetent without relevant pathological history, with chronic lumbar pain and a thoraco-abdomino-pelvic computed tomography with contrast, what showed multiple osteolytic lesions with a soft-tissue component. Puncture of the intramuscular collection of the sacral region was performed, with positive culture for Mycobacterium tuberculosis complex multisensible. The tuberculostatic treatment was started, achieving important clinical improvement.

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References

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Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. Clin Infect Dis. 2016; 63(7): e147-e195. doi: https://doi.org/10.1093/cid/ciw376.

Published

2019-12-31

How to Cite

1.
Cantos-González JL, Salazar-Molina AE, Artero-Mora A, Zaragoza-Crespo R. Osteoarticular multifocal tuberculosis without lung disease. Rev Esp Casos Clin Med Intern [Internet]. 2019 Dec. 31 [cited 2024 Dec. 22];4(3):118-20. Available from: https://www.reccmi.com/RECCMI/article/view/437

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