Abstract
Abstract:Tuberculosis of the clavicular bone is a very rare clinical entity, with limited cases reported in the United States. Furthermore, sparing of the sternoclavicular joint is exceedingly unusual. A literature review of the prevalence of clavicular tuberculosis identified fewer than 80 cases reported since the discovery of the tubercular bacillus, over a century ago. To our knowledge, there have been no cases reported over the last decade in the United States. A rare case of tuberculous osteomyelitis of the clavicle in an immunocompetent patient who presented with swelling of the upper chest is reported.
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References
References1. Pratt R, Robison V, Navin T. Trends in tuberculosis—United States, 2007. JAMA 2008;299:2142–2144.PrattR]]RobisonV]]NavinTTrends in tuberculosis—United States, 2007.JAMA20082992142-21442. Fang JT, Huang CC, Liu HP. Apparent neoplasm of the clavicle of a dialysis patient, ultimately revealed as tuberculosis. Nephrol Dial Transplant 1996;11:1380–1382.FangJT]]HuangCC]]LiuHPApparent neoplasm of the clavicle of a dialysis patient, ultimately revealed as tuberculosis.Nephrol Dial Transplant1996111380-13823. Lafond EM. An analysis of adult skeletal tuberculosis. J Bone Joint Surg Am 1957;40:346–364.LafondEMAn analysis of adult skeletal tuberculosis.J Bone Joint Surg Am195740346-3644. DuBrow EL, Landis FB. Reactivation of pulmonary tuberculosis due to trauma. Chest 1975;68:596–598.DuBrowEL]]LandisFBReactivation of pulmonary tuberculosis due to trauma.Chest197568596-5985. Rich AC. The Pathogenesis of Tuberculosis. Springfield, IL, CC Thomas Company, 1951, p 638.RichACThe Pathogenesis of Tuberculosis.Springfield, ILCC Thomas Company19516386. Balsanagoudar PL, Gupta PN, Bahadner R. Tuberculosis of the clavicle presenting as an expansile lytic lesion: a case report. Acta Orthop Belg 2001;67:505–509.BalsanagoudarPL]]GuptaPN]]BahadnerRTuberculosis of the clavicle presenting as an expansile lytic lesion: a case report.Acta Orthop Belg200167505-5097. American Thoracic Society; CDC; Infectious Diseases Society of America. Treatment of tuberculosis. MMWR Recomm Rep 2003;52:1–77.American Thoracic SocietyCDCInfectious Diseases Society of America. Treatment of tuberculosis.MMWR Recomm Rep2003521-778. Schaefer H. Ueberdas auftreten von erweichung-sherden irn schluessel-beinkopf. Chirurg 1930;2:71–72.SchaeferHUeberdas auftreten von erweichung-sherden irn schluessel-beinkopf.Chirurg1930271-729. Sorrel D. Tuberculose ossense et osteoarticulaire. Masson, Paris 1932.VIII-513.SorrelDTuberculose ossense et osteoarticulaire.MassonParis1932VIII-51310. Macey H. Tuberculosis of clavicle and malar bone. Mayo Clin Proc 1935;10:289–291.MaceyHTuberculosis of clavicle and malar bone.Mayo Clin Proc193510289-29111. Sirkin J, Baumgartner BA. Tuberculosis of the clavicle. Review of literature and report of a case. JAMA 1936;107:120–123.SirkinJ]]BaumgartnerBATuberculosis of the clavicle. Review of literature and report of a case.JAMA1936107120-12312. Pique J, Froelich GL. Tuberculosis de clavicula. Rev Assoc Med Arg 1938;52:457–459.PiqueJ]]FroelichGLTuberculosis de clavicula.Rev Assoc Med Arg193852457-45913. Rosendahl-Jensen S. Tuberculous osteomyelitis of the clavicle. A report of five cases. Acta Chir Scand 1960;118:327–330.Rosendahl-JensenSTuberculous osteomyelitis of the clavicle. A report of five cases.Acta Chir Scand1960118327-33014. Feibush JS. Tuberculosis of the clavicle. JAMA 1962;179:889–900.FeibushJSTuberculosis of the clavicle.JAMA1962179889-90015. Tuli SM, Sinha GP. Skeletal tuberculosis “unusual” lesions. Indian J Orthop 1969;3:5–19.TuliSM]]SinhaGPSkeletal tuberculosis “unusual” lesions.Indian J Orthop196935-1916. Srivastava KK, Garg LD, Kochhar VL. Tuberculosis osteomyelitis of the clavicle. Acta Orthop Scand 1974;45:668–672.SrivastavaKK]]GargLD]]KochharVLTuberculosis osteomyelitis of the clavicle.Acta Orthop Scand197445668-67217. Martini M, Adjrad A, Boudjemaa A. Tuberculous osteomyelitis. Int Orthop 1986;10:201–207.MartiniM]]AdjradA]]BoudjemaaATuberculous osteomyelitis.Int Orthop198610201-20718. Tucker G. Bilateral tuberculous osteomyelitis of the clavicle. Orthopedics 1990;13:767–768.TuckerGBilateral tuberculous osteomyelitis of the clavicle.Orthopedics199013767-76819. Rasool MN, Govender S. Infections of the clavicle in children. Clin Orthop Relat Res 1991;265:178–182.RasoolMN]]GovenderSInfections of the clavicle in children.Clin Orthop Relat Res1991265178-18220. Gerscovich EO, Greenspan A. Osteomyelitis of the clavicle: clinical, radiologic and bacteriologic findings in ten patients. Skeletal Radiol 1994;23:205–210.GerscovichEO]]GreenspanAOsteomyelitis of the clavicle: clinical, radiologic and bacteriologic findings in ten patients.Skeletal Radiol199423205-21021. Shah J, Patkar D, Parikh B. Tuberculosis of the sternum and clavicle: imaging findings in 15 patients. Skeletal Radiol 2000;29:447–453.ShahJ]]PatkarD]]ParikhBTuberculosis of the sternum and clavicle: imaging findings in 15 patients.Skeletal Radiol200029447-45322. Ngom G, Diémé C, Fall M, et al. Clavicle tuberculosis revealed by lytic lesion in a child presenting with a neurofibromatosis. Internet J Pediatr Neonatol 2007;7:1528–8374.NgomG]]DiéméC]]FallM&etal;Clavicle tuberculosis revealed by lytic lesion in a child presenting with a neurofibromatosis.Internet J Pediatr Neonatol200771528-837423. Simon GL, Worthington MG. An unusual case of pleural, epididymal and sternoclavicular tuberculosis. J Infect 1982;4:259–261.SimonGL]]WorthingtonMGAn unusual case of pleural, epididymal and sternoclavicular tuberculosis.J Infect19824259-261