PONCET DISEASE IN A PATIENT WITH SMEAR-NEGATIVE PULMONARY TUBERCULOSIS: A CASE REPORT

Author: Poh Siang Ooi ¹ ; Hartini Ismail ¹ ; Gayatherri Meganathan ¹ ; Nurfathehatul Nabila Saidi ¹ ; Yeogeashweary Dhamotharan ¹ ; HUI Heng Chua ²
Author Information

1. Klinik Kesihatan Kepala Batas, Lot 1466, Mukim 6, Kepala Batas, Penang, Malaysia.
2. Hospital Pulau Pinang, Jalan Residensi, George Town, Ministry of Health Malaysia, Penang, Malaysia.
Publication Type:Case Reports
Keywords: Smear-negative pulmonary tuberculosis; Poncet disease; Joint pain; Erythema nodosum
From:Malaysian Family Physician 2024;19(1):1-5
CountryMalaysia
Language:English
Abstract: PONCET DISEASE IN A PATIENT WITH SMEAR-NEGATIVE PULMONARY TUBERCULOSIS: A CASE REPORT:Pulmonary tuberculosis poses a diagnostic dilemma to clinicians especially in the absence of typical presentation. The hypersensitivity to tuberculosis infection in other parts of the body can lead to nondestructive, para-infectious arthritis. This is known as Poncet disease, one of the clinical syndromes of musculoskeletal tuberculosis. Herein, we report a case of smear-negative pulmonary tuberculosis presenting with atypical features. It started with multiple joint pain, followed by the presence of multiple tender nodular skin lesions over the bilateral shins and wrist. Subsequent investigations led to the diagnosis of smear-negative pulmonary tuberculosis. Joint pain and erythema nodosum disappeared soon after antituberculosis therapy, supporting the diagnosis of Poncet disease.
Full text:2026102121354808510Poncet disease.pdf