Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Avascular necrosis of humeral head in an elderly patient with tuberculosis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Avascular necrosis of humeral head in an elderly patient with tuberculosis a case report Renu Agarwal1 Ruchika Gupta2 Sompal Singh 1 Kusum Gupta1 and Madhur Kudesia1 Address Department of Pathology Hindu Rao Hospital Malka Ganj Delhi-110007 India and 2Department of Pathology All India Institute of Medical Sciences Ansari Nagar New Delhi-110029 India Email Renu Agarwal - pdoc@ Ruchika Gupta - ruchika257@ Sompal Singh - sompal151074@ Kusum Gupta - kusum_g@ Madhur Kudesia - madhur_kudesia@ Corresponding author Published 4 December 2008 Received 6 February 2008 Journal of Medical Case Reports 2008 2 361 doi 1752-1947-2-361 Accepted 4 December 2008 This article is available from http content 2 1 361 2008 Agarwal et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Osteonecrosis avascular necrosis is known to be caused by high-dose corticosteroid therapy alcoholism and rarely by infections. However a tubercular etiology of this condition is very rare. A review of the literature yielded only a few cases of polyarticular tuberculosis with osteonecrosis in immunosuppressed individuals. No case of monoarticular tubercular osteonecrosis diagnosed by aspiration cytology was found. Since tuberculosis is a curable disease an early and accurate diagnosis is essential. Case presentation A 60-year-old Indian man presented with diffuse swelling and pain in the left shoulder for the previous 6 months. A computed tomography scan of the left shoulder revealed crescentic lucency in the humeral head suggestive of osteonecrosis. Fine needle aspiration cytology smears
