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A synovial fluid sample and repeated wound swabs yielded no growth from routine bacterial culture. Radiological assessment together with knowledge of her husband having previous TB raised the possibility of TB arthritis. Synovial fluid aspirate was subsequently sent for acid\u2013alcohol fast bacilli microscopy and mycobacterial culture that confirmed<jats:italic>M. tuberculosis<\/jats:italic>. She was consequently started on multidrug TB therapy, over a year after the onset of her symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2017-222735","type":"journal-article","created":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T04:25:17Z","timestamp":1512620717000},"page":"bcr-2017-222735","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Mycobacterium tuberculosis<\/i>of the elbow joint"],"prefix":"10.1136","volume":"2017","author":[{"given":"Quintin","family":"Liao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James George","family":"Shepherd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sulman","family":"Hasnie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,12,6]]},"reference":[{"key":"2025042713124612000_2017.dec06_1.bcr-2017-222735.1","unstructured":"Tuli SM . 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