Rice Grain Bursitis: Rare Manifestation of TB in Wrist Joint
Isra Khan *
Department of Radio-Diagnosis, JNMCH, Aligarh Muslim University, India.
Saifullah Khalid
Department of Radio-Diagnosis, JNMCH, Aligarh Muslim University, India.
Emad Alvi
Department of Surgery, JNMCH, Aligarh Muslim University, India.
Sameera Khanam
Department of Obstetrics and Gynaecology, RML Hospital of Medical Sciences, Lucknow, India.
Saad Mohammad
Department of Orthopaedics, Integral University of Health Sciences, Lucknow, India.
Mohd Khalid
Department of Radio-Diagnosis, JNMCH, Aligarh Muslim University, India.
*Author to whom correspondence should be addressed.
Abstract
This case report highlights about rice grain bursitis- rare manfiestation of TB in wrist joint. Subacromial-subdeltoid bursitis of a shoulder with rice bodies is relatively uncommon. The understanding of the pathogenesis of rice body formation is yet approximate only but some clinical conditions like rheumatoid arthritis, tuberculous arthritis, seronegative inflammatory arthritis, juvenile rheumatoid arthritis and osteoarthritis are related to it. A 30yr Male patient presented with complaints of pain and swelling in the wrist joint , which was insidious in onset. It was associated with evening rise in temperature. Frequenetly erosion of the underlying bone, secondary osteomyelitis and median nerve encasement are present.
Keywords: Tuberculosis, rice grain bursitis, wrist joint, MRI, TB