PMID: 18716439Aug 22, 2008Paper

Tuberculosis of the knee joint: a case report

Acta orthopaedica et traumatologica turcica
Umut AkgünMustafa Karahan

Abstract

Tuberculosis may develop in the skeletal system apart from its primary location, the lungs. A 22-year-old male patient presented with complaints of severe pain and swelling in the left knee and difficulty in walking. The symptoms first appeared 12 years before and he underwent open surgical debridement and arthroscopic debridement at two other centers, at which time aspiration cultures taken from the knee yielded no growth. Physical examination showed a painful left knee with swelling, increased temperature, effusion, and limited range of motion. Based on history, physical examination, radiological studies, and laboratory findings, knee osteoarthritis was considered secondary to nonspecific septic arthritis and knee arthrodesis was performed. At surgery, marked destruction of articular cartilage and synovial hypertrophy were observed. In addition, a cavitary lesion was detected, about 1 x 1 cm in size, in the lateral femoral condyle without articular involvement. Biopsy cultures taken from the lesion showed growth of Mycobacterium tuberculosis in the third week. This enabled a diagnosis of tuberculosis of the knee joint and antituberculous drug therapy was instituted. At six months postoperatively, the patient was on antituberc...Continue Reading

Citations

Oct 12, 2011·Journal of Medical Case Reports·Chaturaka Rodrigo, Inoshi Atukorala
Jan 26, 2010·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Laura D Ciobanu, Dragica P Pesut
May 26, 2010·Korean journal of anesthesiology·Sun Soph JungSang-Sik Choi

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