Tuberculosis of the Sternoclavicular Joint: Report of 3 New Cases Observed in Abidjan

Abstract

The sternoclavicular joint is a rare site of osteoarticular tuberculosis. We now report three new cases of sternoclavicular tuberculosis. The report concentrates mostly on immunocompromised patients, notably two with HIV infection and one case marked by its acute onset which is rather original because, in this case, there was a swollen sternoclavicular joint with normal X-ray and it was the CT-scan which showed the lesions. The etiological diagnosis was made in the first case by polymerase chain reaction and in the second case by identification of Mycobacterium tuberculosis. In the third case, the diagnosis was presumptive and the outcome on anti-tuberculous drugs was satisfactory. Sternoclavicular joint tuberculosis is unusual; the painful swelling of that joint should lead to realize a performed imaging such as CT-scan.

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Diomandé, M. , Gbané-Koné, M. , Ouattara, B. , Mégné, T. , Eti, E. and Kouakou, M. (2015) Tuberculosis of the Sternoclavicular Joint: Report of 3 New Cases Observed in Abidjan. Open Journal of Rheumatology and Autoimmune Diseases, 5, 1-5. doi: 10.4236/ojra.2015.51001.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Kurtz, B., Hauss, P.A., Druesne, L. and Chassagne, P. (2005) Tuberculosis Arthritis of the Sternoclavicular Joint. Revue de Medecine Interne, 26, 249-245.
[2] Enarson, D.J., Fujii, M., Nakielna, E.M. and Grzybowsky, S. (1979) Bone and Joint Tuberculosis: A Continuing Problem. Canadian Medical Association Journal, 120, 139-145.
[3] Pertuiset, E. (2004) Peripheral Bone and Joint Tuberculosis. Encyclopedie Medicochirurgical-Rhumatologie Orthopédie, 1, 463-486. http://dx.doi.org/10.1016/j.emcrho.2004.08.003
[4] Tuli, S.M. (1993) Tuberculosis of the Skeletal System (Bone, Joints, Spine and Bursal Sheaths). Jaypee Brothers Medical Publisher, New Delhi.
[5] Daniel, T.M. and Debanne, S.M. (1987) The Serodiagnosis of Tuberculosis and Other Mycobacterial Diseases by Enzyme-Linked Immunosorbent Assay. American Review of Respiratory Disease, 135, 1137-1151.
[6] Ankit, S., Jyotirmoy, P., Partho, S.K. and Nirodh, B.D. (2010) Tuberculosis of Sternoclavicular Joint-Uncommon Ma- nifestation of a Common Disease. Journal of Medicine, 11, 102-104.
[7] Eti, E., Daboiko, J.C., Brou, K.F., Ouali, B., Koffi, K.D. and Kouakou, N.M. (2010) Vertebral Tuberculosis: Our Experience from a Study of 147 Cases in the Rheumatology Department of the University Hospital of Cocody, Abidjan, Côte d’Ivoire. Medecine d’Afrique Noire, 57, 287-292.
[8] Cibère, J. (2000) Rheumatology: Four. Acute Monoarthritis. Canadian Medical Association Journal, 162, 1577-1583.
[9] Watts, H.G. and Lifeso, R.M. (1996) Tuberculosis of Bones and Joints. The Journal of Bone Joint Surgery American Volume, 78, 288-298.
[10] Payne, K. and Yang, J. (2002) Osteoarticular Tuberculosis: A Case Report and Discussion. Canadian Medical Association Journal, 166, 628-630.

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