ArticleJournal of orthopaedic case reports2026
Tuberculosis of the Elbow in a Chronic Kidney Disease Patient with Arteriovenous Fistula: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Tuberculosis (TB) involving the elbow joint is an uncommon form of osteoarticular infection and often presents with non-specific symptoms, leading to delayed diagnosis and treatment. The condition may mimic other chronic inflammatory or infective arthropathies, posing significant diagnostic challenges. In patients with chronic kidney disease (CKD) undergoing hemodialysis, the presence of an arteriovenous (AV) fistula in the affected limb further complicates both clinical evaluation and surgical management. Reports describing TB of the elbow in the setting of CKD with an ipsilateral AV fistula are extremely limited, making this case clinically significant and relevant to orthopedic practice. Case Report: A 75-year-old gentleman of South Indian origin presented with pain, swelling, and restricted movements of the left elbow of 2 weeks duration, associated with intermittent low-grade fever. He was a known case of CKD on maintenance hemodialysis through an AV fistula in the same limb. Clinical examination revealed diffuse swelling, warmth, and tenderness around the elbow joint with restricted range of motion. Radiographs were unremarkable, while magnetic resonance imaging suggested joint effusion with surrounding soft-tissue involvement. The patient underwent surgical drainage and curettage following pre-operative optimization of the kidney function. Microbiological molecular testing confirmed TB with resistance to rifampicin, while histopathology showed features of chronic inflammation. The patient showed clinical improvement following surgical intervention and initiation of appropriate medical therapy. Conclusion: This case highlights the importance of maintaining a high index of suspicion for TB in atypical presentations of elbow joint pathology, especially in immunocompromised individuals. The coexistence of CKD and an AV fistula presents unique diagnostic and therapeutic challenges, requiring a multidisciplinary approach. Early recognition and combined clinical, radiological, and laboratory evaluation are essential to prevent joint destruction and functional disability. This report contributes to orthopedic literature by emphasizing a rare clinical scenario and underscores the need for individualized management strategies in complex patients, thereby enhancing understanding of disease presentation and optimizing treatment outcomes.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.