RT Journal Article
SR Electronic
T1 Tuberculous osteomyelitis presenting as shoulder pain.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 851
OP 856
VO 30
IS 4
A1 Paul A Monach
A1 Johanna P Daily
A1 Gamaliel Rodriguez-Herrera
A1 Daniel H Solomon
YR 2003
UL http://www.jrheum.org/content/30/4/851.abstract
AB A case of tuberculous osteomyelitis of the proximal humerus is described. The relevant literature is reviewed with attention to epidemiologic data. Issues highlighted include the frequent presentation in a subacute course without systemic illness; the value of plain radiography and especially magnetic resonance imaging; the importance of obtaining a tissue diagnosis; and the high rate of cure with medical therapy. Although rare in Western countries, skeletal tuberculosis is not uncommon in endemic areas and in migrants from such areas. With the growing use of biologic therapies, rheumatologists must be familiar with the diagnosis and treatment of tuberculosis in all its forms.