Tuberculosis of the Knee: A Case Report and Literature Review

Author:

Uboldi Francesco1,Limonta Silvia2,Ferrua Paolo1,Manunta Andrea3,Pellegrini Antonio4

Affiliation:

1. Department of Knee Surgery, Gaetano Pini Hospital, Milan, Italy

2. 3rd Division of Infectious Diseases, University of Milan, Luigi Sacco Hospital, Milan, Italy

3. Orthopedic Unit, University of Sassari, Sassari, Italy

4. Reparative Orthopedic Surgery and Infectious Complications Unit, San Siro Clinical Institute, Galeazzi Orthopedic Institute, Milan, Italy

Abstract

AbstractTuberculosis (TB) is currently in resurgence due to immigration from endemic areas. Skeletal TB frequently mimics more common etiologies and can be difficult to diagnose. A case of TB knee arthritis in a young woman with painful and swelling knee is reported here. Arthrotomy was performed and inflamed synovial tissue was found, with multiple rice bodies in the eroded lateral femoral condyle. The patient was treated with an antituberculosis polytherapy and at 1-year follow-up, she reported relief from pain and swelling. We believe that all surgeons assessing patients from TB endemic regions have to adopt an updated approach to TB treatment. Thus, a literature review is also reported here on the current strategies used in different knee TB cases.

Publisher

Georg Thieme Verlag KG

Subject

Rehabilitation,Orthopedics and Sports Medicine,Surgery

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