Tubercular Osteomyelitis Clavicle: A Case Report
What to Learn from this Article?

A prolonged case of neglected disease still responds to treatment.


Case Report | Volume 4 | Issue 4 | JOCR Oct-Dec 2014 | Page 51-53 | Agarwal A, Maheshwari R.  DOI: 10.13107/jocr.2250-0685.226


Authors: Agarwal A [1], Maheshwari R [1]

[1] Department of Orthopaedics, Himalayan Institute of Medical Sciences, Dehradun, Uttrakhand, India.

Address of Correspondence:

Dr. Rajesh Maheshwari, B-13/1, Swami Rama Himalayan University Campus, Swami Ram Nagar, Jollygrant, Doiwala, Dehradun – 248 140, Uttrakhand, India. Email: rajesh1969m@yahoo.co.in


Abstract

Introduction: Osteomyelitis of the clavicle is a rare entity particularly in adults. Most infective lesions of the clavicle are traumatic and are not difficult to diagnose. Nontraumatic clavicular lesions, on the other hand, are rare and are difficult to diagnosis. It can also occur as a complication of head and neck surgery and subclavian catheter placement.

Case Report: We describe this case in a 61-year-old male who presented with a discharging sinus since 25 years at his left shoulder tip with purulent discharge. Clinicoradiologically, patient was diagnosed as a case of pyogenic osteomyelitis of the lateral end of the clavicle. However, biopsy proved it to be a tubercular osteomyelitis.

Conclusion: Discharging sinus along with secondary infection made diagnosis difficult and delayed appropriate treatment. Thus, as skeletal tuberculosis (TB) can mimic any bony pathology, TB has to be included in the differential diagnosis especially at unusual sites.

Keywords: Tuberculosis, Clavicle, Osteomyelitis.


How to Cite This Article: Agarwal A, Maheshwari R. Tubercular Osteomyelitis Clavicle: A Case Report. Journal of Orthopaedic Case Reports 2014 Oct-Dec;4(4): 51-53. Available from: http://www.jocr.co.in/wp/2014/10/14/2250-0685-226-fulltext/

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