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Abstract
We present a case of a 27-year-old male with chronic shoulder pain accompanied by a left retropectoral abscess and osteoarticular involvement consistent with cancer who was admitted to the Internal Medicine ward in Guápiles Hospital. Diagnosis of tuberculosis was made upon molecular and histopathological assays obtained from the involved tissues. Approximately 20% of tuberculosis cases have evidence of extrapulmonary involvement and 10% of those present with osteoarticular disease. Diagnosis is usually challenging since it may be confounded with other illness, especially cancer. Diagnosis of extrapulmonary tuberculosis is made by confirming the presence of bacilli either by histopathologic, microbiological, or molecular assays. Treatment for osteoarticular tuberculosis is longer than usual therapy for pulmonary tuberculosis.
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References
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