Skip to content
1887

Abstract

Tuberculosis remains a major public health concern, particularly in countries where it is still endemic. Tuberculous bursitis and tenosynovitis are rare extrapulmonary manifestations, and their association with systemic autoimmune diseases such as scleroderma is seldom reported in the literature. We report the case of a 61-year-old patient with systemic scleroderma, complicated by diffuse interstitial lung disease and treated with mycophenolate mofetil, who developed tuberculous shoulder bursitis and wrist extensor tenosynovitis. The microbiological diagnosis was confirmed by ultrasound-guided aspiration of the subacromial-subdeltoid bursa, revealing the presence of , detected by Ziehl–Neelsen staining, GeneXpert PCR and culture. Histological analysis of synovial tissue fragments demonstrated epithelioid granulomas with caseous necrosis, confirming the tuberculous origin.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Loading

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.001023.v3
2025-10-01
2026-03-07

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/acmi/7/10/acmi001023.v3.html?itemId=/content/journal/acmi/10.1099/acmi.0.001023.v3&mimeType=html&fmt=ahah

References

  1. Ministry of Health and Social Protection of Morocco National Strategic Plan for Tuberculosis 2024–2030. n.d https://www.sante.gov.ma/Documents/2023/11/Plan%20strate%C3%ACgique%20National%20TB%202024-2030.pdf accessed 21 February 2025
  2. Gbané-Koné M, Koné S, Ouali B, Djaha K-M, Akoli EO. Tuberculose ostéoarticulaire (mal de pott exclu): à propos de 120 cas à abidjan [osteo articular tuberculosis (pott disease excluded): about 120 cases in abidjan]. Pan Afr Med J 2015; 21:279
    [Google Scholar]
  3. Touzi M, Benchekaya N, Grassa R, Kammoun M. État des lieux de la tuberculose osseuse et articulaire des membres. EMC Appareil Locomoteur 2024 [View Article]
    [Google Scholar]
  4. Pertuiset É. Tuberculose ostéoarticulaire extravertébrale. Revue du Rhumatisme 2006; 73:387–393 [View Article]
    [Google Scholar]
  5. Bejia I, Younes M, Zrour S, Touzi M, Bergaoui N. Les facteurs associés à l’évolution de la sciatique commune. À propos de 1092 cas. Revue du Rhumatisme 2004; 71:1180–1185 [View Article]
    [Google Scholar]
  6. Jemaa MB, Zribi W, Elleuch E, Bouaziz W, Abid A et al. Bursite tuberculeuse de l’épaule chez une insuffisante rénale chronique: à propos d’un cas. Pan Afr Med J 2018; 30: [View Article]
    [Google Scholar]
  7. Mangwani J, Gupta AK, Yadav CS, Rao KS. Unusual presentation of shoulder joint tuberculosis: a case report. J Orthop Surg 2001; 9:57–60 [View Article] [PubMed]
    [Google Scholar]
  8. Walker UA, Gutfleisch J, Peter HH. Case Number 23: Tuberculous tenosynovitis. Ann Rheum Dis 2002; 61:384 [View Article] [PubMed]
    [Google Scholar]
  9. Ben Abdelghani K, Maatallah K, Ajili F, Souabni L, Laatar A et al. Localisation rare de la tuberculose: la ténosynovite des doigts. Pan Afr Med J 2014; 17: [View Article]
    [Google Scholar]
  10. Ben m’rad M, Gherissi D, Mouthon L, Salmon-Céron D. Risque de tuberculose au cours des maladies systémiques. La Presse Médicale 2009; 38:274–290 [View Article]
    [Google Scholar]
  11. Bacha S, Hamadache K, Berdous L. Profil en auto-anticorps anti-nucléaires dans la sclérodermie systémique; 2020 https://dspace.ummto.dz/handle/ummto/11815
  12. Li J, Tang K, Xu H, Li Q, Zhang S. Glenohumeral joint tuberculosis that mimics frozen shoulder: a retrospective analysis. J Shoulder Elbow Surg 2012; 21:1207–1212 [View Article] [PubMed]
    [Google Scholar]
  13. Ogawa K, Nakamichi N. Advanced shoulder joint tuberculosis treated with débridement and closed continuous irrigation and suction: a report of 2 cases. Am J Orthop 2010; 39:E15–8 [PubMed]
    [Google Scholar]
  14. Sbai MA, Bouaicha W, Sbei F, Mrad SB, Hafdhallah FB. An extensor tenosynovitis complicated with extensor tendon rupture revealing a hand tuberculosis. Int J Mycobacteriol 2023; 12:200–203 [View Article] [PubMed]
    [Google Scholar]
  15. Cohen M, Jacob D. L’échographie interventionnelle. J de Radiologie 2007; 88:1223–1229 [View Article]
    [Google Scholar]
  16. Carbonnelle E. Apport des examens biologiques dans le diagnostic positif, la détermination de l’étiologie et le suivi d’une méningite suspectée bactérienne. Médecine et Maladies Infectieuses 2009; 39:581–605 [View Article]
    [Google Scholar]
  17. Jambhekar NA, Kulkarni SP, Madur BP, Agarwal S, Rajan MGR. Application of the polymerase chain reaction on formalin-fixed, paraffin-embedded tissue in the recognition of tuberculous osteomyelitis. J Bone Joint Surg Br 2006; 88:1097–1101 [View Article] [PubMed]
    [Google Scholar]
  18. Yombi J-C, Vandercam B, Cornu O, Lecouvet F, Leemrijse T. Ostéoarthrite tarsienne: une localisation rare de la tuberculose. Revue de Chirurgie Orthopédique et Réparatrice de l’Appareil Moteur 2007; 93:740–745 [View Article]
    [Google Scholar]
  19. Ministry of Health, Kingdom of Morocco Management of Tuberculosis; 2016 https://www.sante.gov.ma/Documents/Prise-en-charge-de-la-TB.pdf
/content/journal/acmi/10.1099/acmi.0.001023.v3
Loading
/content/journal/acmi/10.1099/acmi.0.001023.v3
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An error occurred
Approval was partially successful, following selected items could not be processed due to error