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. 2020 May 1;11(Suppl 4):S557–S567. doi: 10.1016/j.jcot.2020.04.026

Table 1.

Compilation of all the cases of tuberculosis of sternoclavicular joint.

Cases Age sex Site Clinical features Duration of symptoms Radiology Histology/cytology/ESR/CRP AFB Culture TB-PCR Treatment Follow-up Associated TB Remark
1 21/M B/L Painful swelling, wt loss, loss of appetite 6 months MRI- bilateral lytic area with bone marrow edema with collection Lt SCJ;
Chest xray- left pleural effusion;
Bone scan- multifocal disease
USG guided aspiration showed pus
ESR-30
+ + NA ATT for 8 months 8 months, symptoms improved and then lost to follow-up Lung,
Spine D5 and D7,
Left sided pleural effusion
Multifocal TB
2 38/F Lt Painful swelling, fever 9 months MRI- bone marrow edema and cortical erosion with collection;
USG- collection in Lt SCJ
Cytology -Chronic Granulomatous pathology;
Histopath- Chronic Granulomatous patholgy;
Mantoux-
ESR 28
+ NA ATT for 4 months, surgical debridement and ATT continued for 4 months 8 months, symptom free None Misdiagnosed as strain of SCJ and treated conservatively
3 64/F Rt Pain 4 months MRI- bone marrow edema Rt SCJ ESR-25 NA ATT for 12 months 1 year None Initially diagnosed as SCJ osteoarthritis
4 29/M Rt Painful swelling 4 months MRI- erosion of articular margin with synovial thickening and collections with mild subluxation and widening of space USG guided aspiration;
ESR-23
+ ATT for 18 months 2 years TB lymphadenitis for 5 months ATT Conservative treatment from quack
5 56/F Rt Painful swelling 5 months MRI- marrow edema with periarticular collection USG guided FNA- granulomatous pathology;
ESR-40
NA + ATT for 12 months 16 months None Initially diagnosed as SCJ osteoarthritis
6 30/M Rt Painful swelling;
history of indirect trauma
5 months MRI- marrow edema in medial aspect of clavicle with collection in Lt SCJ Aspiration-granulomatous pathology;
ESR-34
NA ATT for 12 months 2 year, then lost to follow-up None Traumatic SCJ
7 40/M Rt Pain, weight loss, cough, fever 2 months Discovered incidentally on chest CT Cytology -chronic granulomatous pathology;
ESR-22
NA + NA ATT for 6 months 6 months chest TB, pleural effusion, TB lymphadenitis Multifocal
8 27/F Rt Painful swelling 3 months MRI- marrow edema with periarticular collection ESR-31 + + NA ATT for 12 months 13 years None With pregnancy
9 42/F B/L Painful swelling 6 months MRI- bone marrow edema and cortical erosion with collection Cytology -chronic granulomatous pathology;
ESR-29
NA NA + ATT for 12 months 2.5 years None Recurrent Rheumatoid arthritis
10 11/M Lt Painful swelling 2 months MRI- marrow edema in medial aspect of clavicle with collection in left SCJ ESR-17;
CRP-9
NA NA + ATT for 6 months 6 months Pleural effusion
11 65/M Rt Painful swelling 3 weeks CT chest - erosion over both SCJ Cytology -chronic granulomatous pathology;
ESR-37
NA ATT for 4 months Lost to follow-up after 4 months Known c/o CKD
12 30/M Lt Painful swelling, discharging sinus 2 months MRI- erosion in left SCJ with collection;
CT scan- showed destruction involving Lt SCJ
ESR-70; CRP-49
Montoux -
NA ATT for 5 months 5 months Cough and on and off fever with history of weight loss
13 38/M Rt Painful swelling 1 month MRI- signal intensity changes over medial aspect of clavicle with erosions and small collections Aspiration;
ESR-17
CRP>10.
NA + + ATT for 12 months 19 months None
14 19/M Rt Painful swelling 1 month MRI- collection in SCJ with bone marrow edema ESR-41;
CRP-20
NA + ATT for 12 months 18 months None
15 20/M Rt Painful swelling 2 months MRI- bilateral SCJ marrow edema
With Rt effusion
ESR-32 ATT for 9 months 9 months None
16 30/M Rt Painful swelling 6 weeks MRI- collection in SCJ with bone marrow edema ESR-29 ATT for 12 months 12 months None

Abbreviations: M-Male, F-Female, Rt- Right side, Lt- Left side, NA- Not available, ATT- Anti-tubercular therapy, CKD- Chronic kidney disease, SCJ- Sternoclavicular joint, ‘+’ is positive, ‘-’ is negative.