| Autor: |
Opara TN; Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex UB1 3HW, UK., Gupte CM, Liyanage SH, Poole S, Beverly MC |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 2007 May; Vol. 89 (5), pp. 664-6. |
| DOI: |
10.1302/0301-620X.89B5.18462 |
| Abstrakt: |
We describe a case of septic arthritis of the knee in which the diagnosis of tuberculosis was masked by an initial culture growth of Staphylococcus aureus. This led to a delay in diagnosis and an adverse outcome. In the appropriate clinical setting, we suggest that the index of suspicion for skeletal tuberculosis be raised in developed countries in order to avoid diagnostic delay, by requesting cultures for acid-fast bacilli and synovial biopsies at arthroscopy. Moreover, antituberculosis therapy should be started whilst awaiting the results of culture if the clinical history and biopsies are strongly suggestive of the diagnosis. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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