Pediatric Multidrug-Resistant Disseminated Tuberculosis Presenting as Small Finger Tuberculous Osteomyelitis-Reference-Cited by-同舟云学术

Pediatric Multidrug-Resistant Disseminated Tuberculosis Presenting as Small Finger Tuberculous Osteomyelitis

Published:2023-01 Issue:1 Volume:14 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Hoffman Clayton J.¹^ORCID,France Thomas¹^ORCID,Cram Tyler¹^ORCID,Bodmer Jenna L.²^ORCID,Sanders Julia S.¹³^ORCID

Affiliation:

1. Department of Orthopedics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado

2. Department of Pathology, Children's Hospital Colorado, Aurora, Colorado

3. Department of Orthopedics, Children's Hospital Colorado, Aurora, Colorado

Abstract

Case: We report a case in the United States of a 12-year-old girl with multidrug-resistant tuberculous (MDR-TB) osteomyelitis of the hand managed with surgical debridement and second-line anti-TB therapy. The disease course was complicated by dissemination and multifocal progression. Conclusion: Despite early intervention, multidrug resistance makes TB treatment challenging and facilitated progression to disseminated disease in this case. We review the difficulties in diagnosis and treatment of pediatric MDR-TB.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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