{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:54:15Z","timestamp":1774511655014,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Extrapulmonary tuberculosis is uncommon, and musculoskeletal involvement presenting as migratory arthritis is particularly rare in immunocompetent individuals, often leading to misdiagnosis and delayed treatment. We report the case of a 66\u2010year\u2010old man with diabetes mellitus who presented with recurrent migratory inflammatory arthritis affecting multiple joints over 1 year, without initial pulmonary symptoms. He was initially diagnosed with rheumatoid arthritis based on positive rheumatoid factor and elevated inflammatory markers and was treated with disease\u2010modifying antirheumatic drugs without clinical improvement. At presentation, he reported severe shoulder pain, morning stiffness, weight loss, and night sweats. Imaging revealed right upper lobe consolidation and a metabolically active cavitary lung lesion on PET\u2010CT. Bronchoalveolar lavage culture confirmed\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    <\/jats:styled-content>\n                    . Antituberculous therapy was initiated, resulting in marked clinical improvement and resolution of arthritis within weeks. This case highlights tuberculosis as an important, underrecognized cause of migratory arthritis and emphasizes the need to consider infectious etiologies in treatment\u2010resistant inflammatory joint disease, particularly in endemic regions.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.72238","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T03:48:51Z","timestamp":1773114531000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tuberculosis Presenting as Migratory Arthritis: A Case Report from Iraq"],"prefix":"10.1002","volume":"14","author":[{"given":"Farah Jaafar","family":"Mahdi","sequence":"first","affiliation":[{"name":"Rheumatology Unit, Department of Medicine, College of Medicine University of Mustansiriyah  Baghdad Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam Salem","family":"Othman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7789-1727","authenticated-orcid":false,"given":"Ahmed Dheyaa","family":"Al\u2010Obaidi","sequence":"additional","affiliation":[{"name":"College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Almusawi","sequence":"additional","affiliation":[{"name":"Nerve and Muscle Center of Texas Baylor St. Luke Medical Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5032-8627","authenticated-orcid":false,"given":"Marafi Jammaa","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Bahri  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aya Ahmed","family":"Shimal","sequence":"additional","affiliation":[{"name":"College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elian Khalafalla","family":"Awadalla","sequence":"additional","affiliation":[{"name":"College of Medicine University of Khartoum  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwah","family":"Algodi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hackensack Meridian Health \u2013 Jersey Shore University Medical Center  Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974\u2010777X.112277"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2025.102057"},{"key":"e_1_2_13_4_1","volume-title":"StatPearls [Internet]","author":"Tobin E. H.","year":"2024"},{"key":"e_1_2_13_5_1","first-page":"967","volume-title":"Kelly's Textbook of Rheumatology","author":"Ruddy S.","year":"2001"},{"issue":"1","key":"e_1_2_13_6_1","first-page":"183","article-title":"Poncet's Disease: A Challenging Cause of Polyarthritis in a Moroccan Patient","volume":"4","author":"s\u2010Souiri J.","year":"2017","journal-title":"European Journal of Rheumatology [Internet]"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2015.00378"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256\u2010017\u20101260\u20100"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20210450"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiac.2014.07.015"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018008"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v3.i4.385"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.455"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.5152\/CED.2015.1789"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72238","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72238","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:05:35Z","timestamp":1774505135000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ccr3.72238"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72238","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2026-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72238"}}