Osteoarticular tuberculosis of the wrist: A rare case report
Dr. Varun Gupta, Dr. Shraddha Singhania, Dr. Sohael Khan, Dr. MJ Khan, Dr. Karan Kishor Mane, Dr. Mahendra Gudhe, Dr. Sunil Nikose, Dr. Pradeep Singh
Osteoarticular tuberculosis is an infrequent form of the disease and monoarthritis of the wrist accounts for 1% of all cases of skeletal involvement. We describe a 19-year-old patient presented with progressive right wrist pain and swelling, worsened for the last 1 month. Pain and swelling associated with fever. The past medical history was nonspecific and chest x-ray was normal. Laboratory findings were normal except moderate elevation of ESR and CRP levels. He had a strong PPD reaction with 17 mm induration. The radiographs of the wrist illustrated typical features for TB. He was started on anti-TB chemotherapy (Cat-1) and improved significantly. The differential diagnosis of this rare condition was discussed with the review of the literature.