{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:19:20Z","timestamp":1756383560629,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,28]]},"abstract":"<jats:p>We present a 10-year-old boy with 2-month duration non-traumatic wrist pain and inflammatory signs. Due to elevated inflammatory markers on blood tests, with an increase in radiocarpal and intercarpal joints synovial fluid and no bony lesions, the patient was submitted to wrist arthrocentesis for the suspicion of septic arthritis. The patient did not improve on conventional treatment, however. An MRI showed synovitis around the carpus and a lytic lesion of the capitate bone due to osteomyelitis. A biopsy was able to identify the causative agent as <jats:italic>Mycobacterium tuberculosis<\/jats:italic>, and the patient was treated with antibiotics. He improved significantly, with no pain and signs of normal capitate bone remodelling on the last radiograph.<\/jats:p>","DOI":"10.1136\/bcr-2017-223459","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T09:38:02Z","timestamp":1521106682000},"page":"bcr-2017-223459","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Carpal synovitis with capitate bone tuberculosis in a child"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7760-4417","authenticated-orcid":false,"given":"Andr\u00e9","family":"Grenho","sequence":"first","affiliation":[{"name":"Orthopaedics Department - Hospital de Curry Cabral, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Arc\u00e2ngelo","sequence":"additional","affiliation":[{"name":"Orthopaedics Department - Hospital de Curry Cabral, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Jord\u00e3o","sequence":"additional","affiliation":[{"name":"Orthopaedics Department - Hospital de Dona Estef\u00e2nia, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Pediatrics Department - Hospital Dona Estef\u00e2nia, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,15]]},"reference":[{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.1","unstructured":"Global Tuberculosis Report 2016: World Health Organization, 2016."},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.2","unstructured":"Diniz A , Duarte R , Bettencourt J , et al . PORTUGAL - Infe\u00e7\u00e3o por VIH, SIDA e Tuberculose em n\u00fameros \u2013 2015. DdSdIe A , ed. Dire\u00e7\u00e3o-Geral da Sa\u00fade, 2015:44\u201358."},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.3","doi-asserted-by":"publisher","DOI":"10.1086\/605559"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.4","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.54873"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.5","doi-asserted-by":"publisher","DOI":"10.1148\/rg.275065176"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.6","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1016\/j.jhsa.2011.05.036","article-title":"Tuberculosis of the hand","volume":"36","author":"Al-Qattan","year":"2011","journal-title":"J Hand Surg Am"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.7","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/S0363-5023(82)80109-3","article-title":"Skeletal tuberculosis of the wrist and hand: a study of 27 cases","volume":"7","author":"Benkeddache","year":"1982","journal-title":"J Hand Surg Am"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.8","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199801000-00014"},{"key":"2025082802504679000_2018.mar15_1.bcr-2017-223459.9","unstructured":"Tuli SM . Tuberculosis of the skeletal system (bones, joints, spine and bursal sheaths). 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