What clinical manifestation is NOT commonly associated with tuberculosis?

Joint pain is not commonly associated with tuberculosis when compared to other manifestations like cough, night sweats, and fever. Tuberculosis primarily affects the lungs, leading to respiratory symptoms such as a persistent cough, which is one of the hallmark signs of the disease. Night sweats and fever are also well-documented symptoms that reflect the systemic effects of the infection as the body mounts an immune response against the Mycobacterium tuberculosis bacteria.

While joint pain can occur if tuberculosis spreads from the lungs to other areas of the body, such as in extrapulmonary tuberculosis, it is not a typical initial symptom and is less frequently reported in the context of pulmonary tuberculosis. Therefore, it stands out as not being one of the principal clinical manifestations most clinicians associate with the disease in its typical presentation.