Radiological Overview of Tubercular Arthritis of Wrist Joint: A Case Report
TD01-TD03
Correspondence
Dr. Susmita Rani Ghosh,
Postgraduate Trainee, Department of Radiodiagnosis, Agartala Government Medical College, Girls Hostel, GB Hospital, Post Office-Kunjaban, Agartala-799006, Tripura, India.
E-mail: susmitaghosh.agt@gmail.com
Musculoskeletal Tuberculosis (TB) involving the wrist is very rare worldwide. Most cases of tuberculous arthritis arise in patients born in and migrated from endemic regions, particularly in patients who are co-infected with Human Immunodeficiency Virus (HIV). The authors present a rare case of tuberculous arthritis of the wrist joint in a 64-year-old male who had pain, swelling, and decreased range of motion in the left wrist for six months. X-ray and Computed Tomography (CT) showed erosion of carpal bones, reduced joint space, and soft tissue oedema and abscess. Ultrasonography (USG) showed joint effusion and soft tissue oedema were seen around the wrist joint, and on Magnetic Resonance Imaging (MRI) along with this marrow oedema were also noted. Aspirated fluid culture from abscess suggested Mycobacterium positive culture and Ziehl–Neelsen (Z-N) staining showed acid-fast bacilli. Antitubercular therapy was the mainstay of treatment. A high level of suspicion should be kept for TB in every infection of the wrist joint.