Mycobacterium tuberculosis infectious monoarthritis in a paediatric patient.

Autor:	Ruland JR; Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA jrr4cj@uvahealth.org., Schwartz JM; Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA., Bachmann KR; Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA., Lather LA; Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Nov 17; Vol. 16 (11). Date of Electronic Publication: 2023 Nov 17.
DOI:	10.1136/bcr-2023-256606
Abstrakt:	Mycobacterium tuberculosis is uncommon in the USA, and when it is diagnosed, it is usually in adult patients with identifiable risk factors presenting with pulmonary manifestations of the disease. Paediatric tuberculosis is rare, and a minority of those cases can present with isolated extrapulmonary infection. When the musculoskeletal system is involved, there are often no constitutional symptoms, and it can resemble other infectious and inflammatory processes. Diagnosis is challenging, and delay leads to irreversible destructive osteoarticular changes. A prompt diagnosis requires a high index of suspicion. This report presents a case of successfully diagnosed paediatric M. tuberculosis monoarthritis of the knee to highlight these challenges. Competing Interests: Competing interests: No relevant disclosures. Keith Bachmann receives consulting fees from Depuy Synthes and Stryker spine. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu