Your browser doesn't support javascript.
loading
Osteoarticular Tuberculosis of the Knee as a Unique Presentation in a 10-month-old Infant: A Rare Case of a Commonly Delayed Diagnosis.
Gottschalk, Carlos; Carvalho, Emanuela da Rocha.
Afiliação
  • Gottschalk C; Departamento de Pediatria da Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
  • Carvalho EDR; Departamento de Pediatria da Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Rev Bras Ortop (Sao Paulo) ; 59(Suppl 1): e56-e59, 2024 Jul.
Article em En | MEDLINE | ID: mdl-39027189
ABSTRACT
Osteoarticular tuberculosis of the knee is an uncommon disease presentation, especially in children under 1 year old. Diagnosis based on classic methods (such as culture and anatomopathological examination) is a challenge due to the paucibacillary characteristic of the infection. Risk factors include contact with individuals with bacilliferous tuberculosis, living in a region with high disease prevalence, and pediatric age group. We describe a case of chronic monoarthritis caused by Mycobacterium tuberculosis and intermittent inflammatory manifestations in a 10-month-old male patient with no extra-articular symptoms and no history of contact with bacilliferous tuberculosis. The culture was negative, and the anatomopathological examination was inconclusive for the etiologic agent. The detection of traces of M. tuberculosis DNA by a rapid molecular test (GeneXpert) based on the polymerase chain reaction technique established the diagnosis. The treatment consisted of antituberculosis drugs and led to complete resolution of the clinical-radiographic picture. This case emphasizes the importance of considering tuberculosis in the initial differential etiologic diagnoses of arthritis and, therefore, the need for an early, specific investigation, even when the clinical suspicion is not high.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha