Tuberculous osteomyelitis mimicking a lytic bone tumor: report of two cases and literature review

Publication date: Available online 14 December 2017Source: Revista Brasileira de Ortopedia (English Edition)Author(s): I. Gede Eka Wiratnaya, I. Wayan Restu B. Susila, Dwijo Anargha SindhughosaAbstractTuberculous osteomyelitis is an uncommon form of tuberculosis (TB); the isolated involvement of TB in wrist joint is particularly rare. The symptoms and clinical manifestation mimic other conditions; hence, careful diagnosis is required. The authors present two cases of patients presenting with soft tissue mass and a lytic bone lesion. Biopsy revealed granulomatous osteomyelitis. Lesion culture identified Mycobacterium tuberculosis. The authors urge clinicians to include TB as a differential diagnosis of primary cause of lytic bone lesions, even in the absence of pulmonary symptoms or risk factors of TB infection. The inclusion of mycobacterial cultures when analyzing biopsies of lytic bone lesions is also advised.ResumoA osteomielite tuberculosa é uma forma incomum de tuberculose (TB) e o envolvimento isolado da TB na articulação do pulso é particularmente raro. Os sintomas e a manifestação clínica imitam outras condições; portanto, um diagnóstico cuidadoso é necessário. Os autores apresentam dois casos de pacientes com massa nas partes moles e lesão óssea lítica. A biópsia revelou osteomielite granulomatosa. A cultura da lesão identificou Mycobacterium tuberculosis. Os autores recomendam que médicos clínicos incluam TB como um diagnóstico diferencial da cau...
Source: Revista Brasileira de Ortopedia - Category: Orthopaedics Source Type: research