A typical lesion of clavicular tuberculous that mimics osteogenic tumor

Abstract

Introduction:

A non-traumatic lesion of the clavicle is infrequent to encounter. Osteomyelitis of the clavicle occurred only 0% in the mixed population and 7% occurred in childhood. Only 2% of skeletal tuberculosis (TB) manifestation occurred at the clavicle. The rarity of this diagnosis should not be ignored upon diagnosing a non-traumatic lesion in
the clavicle. Histopathological examination should be done before excluding tuberculosis. A thorough treatment of antituberculous medication and wide surgical excision should be carried out to eradicate the infection.

Methods:

We presented a case of a31-year-old female with one-year history of a painful lump located on the right shoulder. Physical and radiologic findings lead toward neoplastic lesion on the clavicle. Surgical incision and biopsy were carried out. Hence, intraoperative findings appeared to imagetuberculous infection instead of neoplastic, which was confirmed by histopathologic examination. Post-operative therapy of antituberculous regiments was initiated, and the patient achieved good functional outcome with reduced appearance of lump and clinical evidence of pain in several months of follow-up.

Results:

Current recommendation for TB clavicle is the antituberculous medication. Despite the advances of imaging modalities, TB clavicle remains difficult to diagnose. Multidrug of antitubercular drugs with or without debridement is curative.

Conclusion:

With the high index of tuberculosis, clinicians should remain vigilant of tuberculosis infection at unusual sites.