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Papers of the Week

2022 Mar 03

BMJ Case Rep



Periscapular mass in a refugee patient: a case of musculoskeletal extrapulmonary tuberculosis.


Schiller M, Mathews A, Buck S, Kvach EJ
BMJ Case Rep. 2022 Mar 03; 15(3).
PMID: 35241444.


This report discusses the case of a male refugee from East Africa who presented with persistent right shoulder pain and was found to have a periscapular mass, whose diagnostic and therapeutic delay was due not only to fragmentation of care, but also a lack of awareness of musculoskeletal manifestations of extrapulmonary tuberculosis. This case underscores the importance of including tuberculosis in the differential diagnosis for a variety of symptoms in patients with risk factors, even if they report previous negative screening.