ISOLATED TUBERCULOSIS OF THE WRIST: A CASE REPORT

Osteoarticular tuberculosis accounts for 2-5% of all tuberculosis cases, with vertebral tuberculosis being the most frequent localization (50%). Peripheral joint involvement comes second, mainly affecting weight-bearing joints (hip and knee) wrist involvement is rare (< 1%).We report a case of a 42-year-old female with a history of pulmonary tuberculosis treated 10 years ago, presented with an isolated right hand swelling for a 4-month duration.Hisinitial imaging and CT scan showed multiple destructive lesions in the carpal bones associated with multiple ffluid collections, His histology and microbiological studies were positive for TB with no otherconcurrent evidence of TB elsewhere.

骨关节结核（Osteoarticular tuberculosis）占所有结核病例的2%~5%，其中脊柱结核（vertebral tuberculosis）为最常见的发病部位（占比50%）；外周关节受累位居其次，主要累及负重关节（髋、膝关节），腕关节受累则极为罕见（<1%）。
本文报告1例42岁女性患者，该患者10年前曾因肺结核接受治疗，此次因右侧手部孤立性肿胀就诊，病程已达4个月。患者初始影像学及CT检查显示腕骨多发破坏性病变，伴多发液性积聚；组织学与微生物学检测结果呈结核分枝杆菌阳性，其余部位未发现合并结核感染的证据。