Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection
Tuberculosis is no longer confined to developing nations; it persists as a significant contributor to illness and death on a global scale. The subtle clinical manifestation and association with human immunodeficiency virus infection poses obstacles for early diagnosis and management. Tuberculosis ma...
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| Format: | Article |
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MDPI AG
2024-12-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/10/1/8 |
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| author | Khaoula Idsaid Malika Idalene Khadija Danaoui Wiam Ait Driss Rania Elfargani Nabila Soraa Noura Tassi |
| author_facet | Khaoula Idsaid Malika Idalene Khadija Danaoui Wiam Ait Driss Rania Elfargani Nabila Soraa Noura Tassi |
| author_sort | Khaoula Idsaid |
| collection | DOAJ |
| description | Tuberculosis is no longer confined to developing nations; it persists as a significant contributor to illness and death on a global scale. The subtle clinical manifestation and association with human immunodeficiency virus infection poses obstacles for early diagnosis and management. Tuberculosis manifesting at extrapulmonary sites is relatively rare. We herein present the case of a 26-year-old patient from Cameroon with a history of pleuropulmonary tuberculosis treated in 2008, who had been taking pre-exposure prophylaxis (PrEP). The patient presented with right shoulder pain of an inflammatory type. The case was diagnosed as tuberculous osteomyelitis of the scapular spine, complicated by a deltoid abscess. Diagnosis was confirmed using computed tomography and the MTB/RIF GeneXpert test on the abscess puncture. This rare form of tuberculosis with an exceptional site revealed a HIV infection with profound immunosuppression. The patient was initiated on anti-tubercular treatment according to Moroccan recommendations. |
| format | Article |
| id | doaj-art-5eacb46b5eb040f2b1c9f79d90996180 |
| institution | Kabale University |
| issn | 2414-6366 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj-art-5eacb46b5eb040f2b1c9f79d909961802025-01-24T13:51:21ZengMDPI AGTropical Medicine and Infectious Disease2414-63662024-12-01101810.3390/tropicalmed10010008Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 InfectionKhaoula Idsaid0Malika Idalene1Khadija Danaoui2Wiam Ait Driss3Rania Elfargani4Nabila Soraa5Noura Tassi6Department of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoDepartment of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoDepartment of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoDepartment of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoDepartment of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoMicrobiology Laboratory, University Hospital Mohamed VI, Marrakesh 40000, MoroccoDepartment of Infectious Diseases, University Hospital Mohamed VI, Marrakesh, Faculty of Medicine and Pharmacy FMPM, Cadi Ayyad University, Marrakesh 40000, MoroccoTuberculosis is no longer confined to developing nations; it persists as a significant contributor to illness and death on a global scale. The subtle clinical manifestation and association with human immunodeficiency virus infection poses obstacles for early diagnosis and management. Tuberculosis manifesting at extrapulmonary sites is relatively rare. We herein present the case of a 26-year-old patient from Cameroon with a history of pleuropulmonary tuberculosis treated in 2008, who had been taking pre-exposure prophylaxis (PrEP). The patient presented with right shoulder pain of an inflammatory type. The case was diagnosed as tuberculous osteomyelitis of the scapular spine, complicated by a deltoid abscess. Diagnosis was confirmed using computed tomography and the MTB/RIF GeneXpert test on the abscess puncture. This rare form of tuberculosis with an exceptional site revealed a HIV infection with profound immunosuppression. The patient was initiated on anti-tubercular treatment according to Moroccan recommendations.https://www.mdpi.com/2414-6366/10/1/8osteoarticular tuberculosismycobacterium tuberculosistuberculous osteomyelitisscapular spineHIV-1 |
| spellingShingle | Khaoula Idsaid Malika Idalene Khadija Danaoui Wiam Ait Driss Rania Elfargani Nabila Soraa Noura Tassi Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection Tropical Medicine and Infectious Disease osteoarticular tuberculosis mycobacterium tuberculosis tuberculous osteomyelitis scapular spine HIV-1 |
| title | Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection |
| title_full | Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection |
| title_fullStr | Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection |
| title_full_unstemmed | Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection |
| title_short | Tuberculous Osteomyelitis of the Scapular Spine Revealing HIV-1 Infection |
| title_sort | tuberculous osteomyelitis of the scapular spine revealing hiv 1 infection |
| topic | osteoarticular tuberculosis mycobacterium tuberculosis tuberculous osteomyelitis scapular spine HIV-1 |
| url | https://www.mdpi.com/2414-6366/10/1/8 |
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