RESUMO
Diaphyseal tuberculosis (TB) is a rare case of the skeletal TB. The following report documents the case of a 52-year-old Moroccan woman with a swelling over the right forearm followed by pulmonary TB under treatment for 3 months. The radiographs of the forearm show a lytic image located at the radius mid-diaphysis. The histopathology confirmed the diagnosis. The patient received surgical drainage with trepanation of the bone. The antibacillary chemotherapy was administered for 6 months. It is, therefore, indispensable to bear in mind the possibility of such atypical presentations of TB when making a rapid and pertinent diagnosis and prescribing the appropriate treatment.
Assuntos
Diáfises/microbiologia , Antebraço/microbiologia , Rádio (Anatomia)/microbiologia , Tuberculose Osteoarticular/diagnóstico , Tuberculose/diagnóstico , Antituberculosos/uso terapêutico , Diáfises/patologia , Feminino , Antebraço/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Radiografia , Rádio (Anatomia)/patologia , Tuberculose/complicações , Tuberculose/tratamento farmacológico , Tuberculose Osteoarticular/tratamento farmacológico , Tuberculose Pulmonar/tratamento farmacológicoRESUMO
Tuberculosis TB is common in countries constituting endemic areas like Morocco, spinal sites represents half of osteo-articular locations, while peripheral locations in the limbs are rare. The authors relate in this observation the case of a particular location of tuberculosis arthritis. It is osteoarthritis of the metatarsophalangeal joint of the 2(nd) ray of the foot. Clinical signs were characterized by a moderately painful swelling of the dorsum of the foot with slow evolution. The definitive diagnosis was histologically obtained. Clinical cure was achieved after 09 months of medical treatment.
