ISSN - 0973-0958

Pediatric Oncall Journal View Article

Isolated Shoulder Joint Tuberculosis in an Adolescent
Miti A Shah, Dr Ira Shah.
Pediatric TB Clinic,Department of Pediatrics, B J Wadia Hospital for Children, Mumbai, India.
Tuberculosis (TB) of the shoulder joint is uncommon. The diagnosis of TB is less considered by clinicians among other common causes of shoulder pain including traumatic and degenerative conditions. We report an 11-year-old girl having shoulder pain, restriction of shoulder joint movement, weakness of left upper limb for 3 months and ipsilateral axillary lymph node enlargement. MRI of the left shoulder showed erosive arthropathy and aspirate from the joint grew mycobacterium tuberculosis (MTB), sensitive to all the standard anti-tuberculous drugs. She was started on first line anti-TB therapy (ATT). However, after 2 months, she had paradoxical involvement of the right hip joint, but was subsequently lost to follow up.

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