Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation

We report a rare case of reverse shoulder prosthesis implantation in a patient retrospectively showing a chronic tuberculous osteoarthritis and meningitis. In this atypical presentation, the patient presented only a chronic shoulder pain, with no clinical or imaging sign of tuberculosis. After the implantation of a reverse shoulder prosthesis, the patient presented a reactivation of a tuberculosis causing a meningitis. The diagnosis of shoulder osteoarthritis caused by <i>M. tuberculosis</i> was confirmed retrospectively on deep perioperative samples by standard culture, PCR, and positive pathology. The management of the patient consisted in 12 months of a medical antituberculosis therapy and showed a favorable outcome.