Tuberculous Osteomyelitis of the Clavicle

Srivastava, K. K.; Garg, Love; Kochhar, V. L.

doi:10.3109/17453677408989676

Cited by 15 publications

(6 citation statements)

References 3 publications

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“…/3-hemolytic streptococci [19]; mixed flora, including Bacteroides fragilis and Pseudornonas aeruginosa [1,2,15,22,26]; Propionibacterium acnes [1,14]; Serratia marcescens [21,28]; Treponema pallidum (syphilis) [22]; Mycobacteriurn tuberculosis [16,22,25]; and fungi [6,7,18] have also been reported in the literature. Often, no microorganism can be cultured, especially if the patient has been previously treated with antibiotics [8,19].…”

Section: Discussionmentioning

confidence: 99%

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Gerscovich

Greenspan

1994

Skeletal Radiol.

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Most lesions of the clavicle are traumatic and pose few diagnostic difficulties. Nontraumatic clavicular lesions, on the other hand, are rare and frequently present problems in diagnosis. This report reviews the clinical, radiologic, and bacteriologic findings in ten patients, six of whom were diagnosed as having acute osteomyelitis and four chronic osteomyelitis. The differential diagnosis of clavicular osteomyelitis is also discussed. The clinical duration of the infectious process in these patients ranged from 2 weeks to 1.5 years. All patients presented with pain; six had fever, three had localized swelling or a mass, and three had soft tissue abscesses. The radiographic findings also varied: the lesion was predominantly sclerotic in four patients, lytic in three, and mixed in two patients; in the one patient in whom magnetic resonance imaging was the only imaging study performed, these features could not be properly evaluated. Periosteal reaction was detected in three patients. Staphylococcus aureus was the causal organism in four patients, while in the remaining six patients different microorganisms were cultured, including Coccidiodes immitis and Mycobacterium tuberculosis. Six patients required biopsy for final diagnosis. Although clavicular osteomyelitis is rare, particularly in adults, it should be considered in the differential diagnosis of a clavicular lesion. The final diagnosis often depends on the results of biopsy and cultures.

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Section: Discussionmentioning

confidence: 99%

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Gerscovich

Greenspan

1994

Skeletal Radiol.

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“…1 Tuberculosis of the clavicle without involvement of the neighbouring joint accounts for <1% of all osteoarticular tuberculosis. 2 We report the clinico-radiological features of tuberculosis in the clavicle in 4 patients.…”

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confidence: 98%

Tubercular Osteomyelitis of the Clavicle: A Report of Four Cases

Aggarwal¹,

Dhammi²,

Singh³

et al. 2009

J Orthop Surg (Hong Kong)

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We report the clinicoradiological features of tuberculosis in the clavicle in 4 patients. The patients' ages ranged from 9 months to 29 years. All patients were managed with antitubercular drug therapy for one year and one underwent surgical debridement and curettage as well. Clinicians should be aware of the varied presentation (pain, non-healing ulcer, abscess, multifocal osteoarticular tuberculosis) of this condition. With the worldwide resurgence of tuberculosis, clinicians should maintain a high index of suspicion. The diagnosis of osteoarticular tuberculosis is usually made on clinico-radiological features.

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“…6 Clavicular TB is seen in <1% of cases with osteoarticular TB. 7 A superimposed staphylococcal infection on a clavicle infected with TB is a rare presentation, with only a few cases reported to date.…”

Section: Discussionmentioning

confidence: 99%

Appearances are Deceptive: Staphylococcus Superinfection of Clavicular Tuberculous Osteomyelitis

Epperla

Kattamanchi

Fritsche

2014

Clinical Medicine & Research

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A man, aged 25 years, presented with pain, swelling, and drainage from the right clavicular area. He had a past history of abscess at the sternoclavicular joint. The cultures from the drainage site grew methicillin-sensitive Staphylococcus aureus, and he was placed on appropriate antibiotics. As S. aureus infection of the clavicle is often secondary in nature, particularly in adults, a thorough workup was done to identify the underlying cause. Quantiferon gold, done as a part of the workup, came back positive, while the bone cultures grew S. aureus and Mycobacterium tuberculosis. He was placed on 9 months of combination therapy for tuberculosis osteomyelitis with a good clinical outcome.

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Tuberculous Osteomyelitis of the Clavicle

Cited by 15 publications

References 3 publications

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Tubercular Osteomyelitis of the Clavicle: A Report of Four Cases

Appearances are Deceptive: Staphylococcus Superinfection of Clavicular Tuberculous Osteomyelitis

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