Isolated tuberculous osteomyelitis of the scapula

Vijayaraghavan, R.; Chandrashekar, Rangashamaiah; Jyothiprakash, A M; Belagavi, C. S.

doi:10.1136/bcr.04.2010.2889

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…Eighteen previous cases of mesenteric KFD have been reported and of these the vast majority of cases were adults. 8 Amongst these cases, misdiagnosis or delayed diagnosis was common and our atypical case demonstrates the importance of considering KFD in diagnostically challenging cases of paediatric abdominal lymphoid masses or abdominal pain.…”

Section: Discussionmentioning

confidence: 73%

First case of paediatric abdominal Kikuchi‐Fujimoto disease in Australia

Miller

Rogerson

Kim

et al. 2021

J Paediatrics Child Health

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A 7-year-old boy of Liberian descent with no significant past medical history, family history or travel history presented to our centre with a 1-day history of right lower quadrant abdominal pain, without associated systemic symptoms. On abdominal examination, he was tender maximally at his right lower quadrant without evidence of peritonism, and he had no hepatosplenomegaly. He also had no apparent cervical, axillary or inguinal lymphadenopathy, and no rash or arthritis.Initial laboratory investigations showed a leukopenia with raised inflammatory markers. Abdominal ultrasound revealed a large 43 Â 19 mm heterogenous lymphatic mass in the right para-aortic region with loss of normal architecture. The terminal ileum was diffusely thickened and enlarged mesenteric nodes were seen throughout the right side of the abdomen (Fig. 1).Given the concern for a potential lymphoproliferative process, abdominal computed tomography was performed with intravenous contrast. This demonstrated a lobulated, enhancing mass, measuring 43 Â 20 Â 28 mm, arising from the para-aortic nodes to the right of the midline and anterior to the right common iliac vessels with multiple other prominent nodes in the ileocolic chain. The right colic vein was encased but not compressed. No adjacent fat stranding or invasion into adjacent structures was seen, nor was any other pathology identified (Fig. 2).A presumptive diagnosis of lymphoma was established and the child underwent a laparotomy for biopsy and consideration of resection. Intraoperatively, a large, solid, white mass in the right colonic mesentery was identified and a wedge biopsy was taken.

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Section: Discussionmentioning

confidence: 73%

First case of paediatric abdominal Kikuchi‐Fujimoto disease in Australia

Miller

Rogerson

Kim

et al. 2021

J Paediatrics Child Health

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Scapular bone destruction: A case report of skeletal tuberculosis with a series of dynamic radiologic features

Lan

Zhong

Lan

et al. 2015

Radiology of Infectious Diseases

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Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

Gorter¹,

Rykov

Ott

et al. 2017

BMJ Case Reports

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A 17-year-old male patient presented with a swelling on his right shoulder 1 week after a fall. MRI revealed a superficial fluid collection of the acromion and trapezius muscle, with slight enhancement of the wall. The swelling burst open spontaneously after failed conservative therapy and was treated with surgical drainage and antibiotics. Tissue cultures showed a Staphylococcus aureus 1 year later, he presented with local red discolouration and a recurrent painful swelling that fluctuated at palpation. Radiographs showed a lytic lesion of the acromion process. MRI showed a sinus in the lytic cavity and a penumbra sign, which helped to identify this extremely rare occurrence of Brodie's abscess in the acromion process that was breaking through to the subcutaneous fat. The abscess was treated successfully with surgical drainage and intravenous antibiotics. In retrospect, the first MRI showed a small cortical indentation, with slight oedema of the acromion process.

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Isolated tuberculous osteomyelitis of the scapula

Cited by 4 publications

References 10 publications

First case of paediatric abdominal Kikuchi‐Fujimoto disease in Australia

First case of paediatric abdominal Kikuchi‐Fujimoto disease in Australia

Scapular bone destruction: A case report of skeletal tuberculosis with a series of dynamic radiologic features

Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

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