Multifocal Skeletal Tuberculosis in 2 Immunocompetent Children

Capuani, Caroline; Accadbled, Franck; Delisle, Marie–Bernadette; Gomez‐Brouchet, Anne

doi:10.3899/jrheum.100562

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…However, this was difficult to confirm in the absence of biopsy findings. Multifocal TB, though rare, has previously been reported in immunocompetent patients 9. One-third of patients with prosthetic knee infection have simultaneous TB infection in distal areas.…”

Section: Discussionmentioning

confidence: 95%

Total knee prosthesis infected withMycobacterium tuberculosis

Elzein¹,

Haris

Alolayan

et al. 2017

BMJ Case Reports

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(MTB) infection of a prosthetic joint is rarely reported in developed countries. Typically, MTB infection involves the hips or knees, and the infection can occur secondary to crushing and degradation of the granuloma during surgery or, less commonly, from distant foci spreading through the blood. In the present case, MTB infection likely resulted from haematogenous spread since multiple hot spots suggestive of MTB infection were noted in other sites. Early diagnosis allows for antitubercular therapy with retention of the prosthesis, while late diagnosis frequently results in removal and reimplantation of the joint. To avoid major surgery, a high index of suspicion is required to diagnose prosthetic joint tuberculosis.

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Section: Discussionmentioning

confidence: 95%

Total knee prosthesis infected withMycobacterium tuberculosis

Elzein¹,

Haris

Alolayan

et al. 2017

BMJ Case Reports

View full text Add to dashboard Cite

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Musculoskeletal tuberculosis with spinal involvement: An important differential for chronic recurrent multifocal osteomyelitis

Lampejo

Bhatt

2022

Clinical Imaging

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Multifocal Osteoarticular Tuberculosis Presenting as Oligoarticular Chronic Juvenile Arthritis

Srinivasan

Sureka

Jakkani

2011

J. Musculoskelet. Res.

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Osteoarticular tuberculosis of the bilateral ankle joint is a rare occurrence and diagnostic dilemmas are common, as it often mimics the inflammatory arthritis. We present a rare case of bilateral ankle tuberculosis in a young male patient presenting with ankle pain in the absence of systemic and pulmonary symptoms which mimicked oligoarticular chronic juvenile arthritis. Further evaluation with MRI of ankle and chest radiograph helped in making a presumptive diagnosis of tuberculosis, which was further confirmed by obtaining granulomatous tissue on bone biopsy. Despite multifocal osteoarticular involvement, the outcome of the patient was favorable after the treatment. Osteoarticular tuberculosis must be considered in patients with chronic oligoarticular or polyarticular involvement.

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Multifocal Skeletal Tuberculosis in 2 Immunocompetent Children

Cited by 3 publications

References 5 publications

Total knee prosthesis infected withMycobacterium tuberculosis

Total knee prosthesis infected withMycobacterium tuberculosis

Musculoskeletal tuberculosis with spinal involvement: An important differential for chronic recurrent multifocal osteomyelitis

Multifocal Osteoarticular Tuberculosis Presenting as Oligoarticular Chronic Juvenile Arthritis

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