DISSEMINATED REFRACTARY TUBERCULOSIS WITH BICEPS TENDON INVOLVEMENT IN AN IMMUNOCOMPETENT PATIENT
| Autor: | César Fontenelle, Márcio Schiefer, Marcelo Bragança dos Reis Oliveira, Yonder Archanjo Ching-San Júnior, José Sergio Franco, Marcos Britto da Silva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Rotator cuff
medicine.medical_specialty Shoulder High prevalence Tuberculosis business.industry Case Report General Medicine Tuberculosis osteoarticular medicine.disease Surgery medicine.anatomical_structure Pharmacotherapy Proximal third medicine Shoulder function Shoulder joint Biceps tendon business Infection |
| Zdroj: | Revista Brasileira de Ortopedia |
| ISSN: | 2255-4971 |
| Popis: | Objective: The authors report a rare case of disseminated tuberculosis which had compromised the long head of biceps tendon and shoulder joint, during standard drug therapy. Methods: On a first sight, the accurate diagnosis wasn't accomplished and the patient had been treated with physiotherapy for rotator cuff tear. However, the patient presented with a fast growing mass in anterior region of the proximal third of the arm, complaining of pain increase. Aspirative punction of the mass revealed a yellow fluid and the laboratorial analysis confirmed infection by M. Tuberculosis. The patient was treated with surgical debridement and his drug therapy was changed. Results: Resolution of infectious status and complete shoulder function restoration was succeeded. Conclusion: Due to its high prevalence in Brazil, tuberculosis must always be considered as a possible cause of inflammatory joint disease, even in immunocompetent patients. |
| Databáze: | OpenAIRE |
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