Tuberculosis of the Femur With Intramedullary Abscesses and No Pulmonary Foci in an Immunocompetent Male: A Rare Case.

Autor: Yadav S; Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND., Rawal G; Respiratory Intensive Care, Max Super Speciality Hospital, New Delhi, IND., Jeyaraman N; Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND., Jeyaraman M; Clinical Research, Viriginia Tech India, Dr. MGR Educational and Research Institute, Chennai, IND.; Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jun 07; Vol. 16 (6), pp. e61928. Date of Electronic Publication: 2024 Jun 07 (Print Publication: 2024).
DOI: 10.7759/cureus.61928
Abstrakt: Tuberculosis of the long bones/femur, especially in an immunocompetent person, is a challenging diagnosis. It is a rare entity, even in endemic settings. The non-specific clinical features, backed by a low suspicion about such presentations even in endemic settings, may result in delayed diagnosis and often unfavorable treatment outcomes. The situation becomes even more challenging in the absence of pulmonary foci and a contact history of tuberculosis. Here is a case of a young adult male who presented with complaints of pain over his left leg for three months. A diagnosis was achieved with magnetic resonance imaging and the isolation of the bacteria from a bone biopsy using a cartridge-based nucleic acid amplification test. Antituberculous treatment was promptly initiated.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Yadav et al.)
Databáze: MEDLINE