Rare finding of right radius tuberculosis

We report a case of a patient in his early 20s who attended a rural charitable clinic with persistent right wrist pain for almost 2 months. Due to the absence of any systemic symptoms, the patient relied on self-medication with analgesics and did not seek medical evaluation during this period. Subsequent imaging of the right wrist revealed a well-defined lytic lesion in the styloid process of the radius. Histopathological analysis confirmed granulomatous inflammation, and further microbiological culture confirmed <i>Mycobacterium tuberculosis</i> The patient was started on antitubercular treatment which resulted in significant clinical improvement. Osteoarticular tuberculosis (TB) of the radius is rare, and this case highlights the importance of maintaining a high index of suspicion for rare sites of osteoarticular TB in endemic regions, even in the absence of classical constitutional symptoms.

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Publication Details

Journal
BMJ Case Reports
Published
2025-05-01
DOI
https://doi.org/10.1136/bcr-2024-263401
Primary Topic
Infectious Diseases and Tuberculosis
Type
article
Field-Weighted Citation Impact
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article

Rare finding of right radius tuberculosis

S. Ahmad, Shiraz Syed, Kshitij Bhardwaj
1 links
BMJ Case Reports
Infectious Diseases and Tuberculosis
article

Rare finding of right radius tuberculosis

S. Ahmad, Shiraz Syed, Kshitij Bhardwaj
article en

Abstract

We report a case of a patient in his early 20s who attended a rural charitable clinic with persistent right wrist pain for almost 2 months. Due to the absence of any systemic symptoms, the patient relied on self-medication with analgesics and did not seek medical evaluation during this period. Subsequent imaging of the right wrist revealed a well-defined lytic lesion in the styloid process of the radius. Histopathological analysis confirmed granulomatous inflammation, and further microbiological culture confirmed <i>Mycobacterium tuberculosis</i> The patient was started on antitubercular treatment which resulted in significant clinical improvement. Osteoarticular tuberculosis (TB) of the radius is rare, and this case highlights the importance of maintaining a high index of suspicion for rare sites of osteoarticular TB in endemic regions, even in the absence of classical constitutional symptoms.

BMJ Case ReportsVol. 18(5)
Chhatrapati Shahu Ji Maharaj University (IN), Sandwell & West Birmingham Hospitals NHS Trust (GB), University of Birmingham (GB)
Good health and well-being
Openalex Percentile: Top 79%
Infectious Diseases and Tuberculosis
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