| Autor: |
Bekoulis T; Trauma and Orthopedic Department, Inverclyde Royal Hospital, Royal Alexandra Hospital Greater Glasgow and Clyde, NHS, Glasgow, UK., Christodoulou P; Trauma and Orthopaedic Department, St. George Hospital, Chania, Greece; cTrauma and Orthopaedic Department, Great Western Hospital, NHS, UK., Dogramatzis K; Trauma and Orthopaedic Department, Great Western Hospital, NHS, UK., Markopoulou E; Commanding Officer, Special Operation Forces Training Centre, Athens, Greece., Antonogiannakis E; Trauma and Orthopaedic Department, Red Cross Hospital, Athens, Greece., Kokkinakis E; Trauma and Orthopaedic Department, Royal Alexandra Hospital, NHS, UK., Apostolopoulos AP; Trauma and Orthopaedic Department, 'Korgialenio-Benakio' Hellenic Red Cross Hospital, Athens, Greece; Trauma and Orthopaedic Department, Ealing Hospital, North West University Healthcare NHS Trust, London, United Kingdom., Manimanaki A; Trauma and Orthopaedic Department, St. George Hospital, Chania, Greece. |
| Abstrakt: |
Although tuberculosis (TB) is considered to be a common disease confined to undeveloped or developing countries, it may also appear in countries that accept great migrant influx from endemic areas. In terms of the skeletal system, it can be involved in 1-6% of tuberculosis patients while the knee joint is the third most frequently affected site after spine and hip. Given that systemic symptoms are present in only one-third of patients with skeletal tuberculosis and secondary septic arthritis, TB is often indolent and diagnosis can hence be missed or delayed. As a result, a high index of suspicion is imperative. Here, we aim to report a case of mono-arthritis caused by Mycobacterium tuberculosis in a native 77-year-old man who was suffering from low-grade knee pain for six months and despite multiple presentations to the Accident and Emergency department, diagnosis had not been established. |
