Abstract
Primary Tuberculosis of wrist joint and carpal bone is rare, and when occurring it usually affects adults. We present a case of isolated tuberculosis of capitate bone; which was confirmed with intra-osseous tissue histopathological examination in a skeletally immature 12-year old boy. There was no signs of reactivation seen at follow-up 18 months after treatment.
Highlights
Tuberculous bacilli have lived in symbiosis with mankind since time immemorial
Articular tuberculosis accounts for 1-3% of all tuberculosis cases and wrist joint is one of the few rare sites
We present a case of a 12 year old male who presented with swelling and a non-healing sinus in the dorsum of the left wrist joint of 5 months’ duration.(figure 1) The patient gave a history of intermittent low grade fever associated with significant weight loss (5kg) over the last 5 months
Summary
Tuberculous bacilli have lived in symbiosis with mankind since time immemorial. Articular tuberculosis accounts for 1-3% of all tuberculosis cases and wrist joint is one of the few rare sites. Tuberculosis of the wrist joint is more common in adults. The disease starts in the synovium and rapidly disseminates to the whole carpus and frequently involves the flexor or extensor tendons[1]. We present tuberculous involvement of the capitate bone in a skeletally immature person, which has not thusfar been reported to our knowledge
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