CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 731-735
DOI: 10.1016/j.rboe.2017.11.015
Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Tuberculous Osteomyelitis Mimicking a Lytic Bone Tumor: Report of Two Cases and Literature Review[*]

Article in several languages: português | English
1  Departamento de Cirurgia Ortopédica e Traumatológica, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonésia
,
I. Wayan Restu B. Susila
1  Departamento de Cirurgia Ortopédica e Traumatológica, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonésia
,
Dwijo Anargha Sindhughosa
2  Faculdade de Medicina, Udayana University, Denpasar, Indonésia
› Author Affiliations
Further Information

Publication History

05 November 2017

06 November 2017

Publication Date:
13 December 2019 (online)

Abstract

Tuberculous osteomyelitis is an uncommon form of tuberculosis (TB); the isolated involvement of the 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. The biopsy revealed granulomatous osteomyelitis. Lesion culture identified Mycobacterium tuberculosis. The authors urge clinicians to include TB as a differential diagnosis when investigating the 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.

* Study conducted at the Department of Orthopaedic and Traumatology Surgery, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonesia. Originally Published by Elsevier Editora Ltda.