COXITIS TB PDF

Abstract Although the prevalence of tuberculosis reduces, it still belongs to the most important infectious diseases worldwide even in industrial countries. We report an unusual case of tuberculous coxitis in a year-old healthy native female with recurrent hip pain. While X-ray and microbiological examination of the aspirate showed no abnormality, only extended diagnostic measurements and detailed history led to the diagnosis of TBC. Although the patient did not show any pulmonary symptoms open tuberculosis was confirmed. After a course of antibiotic treatment she underwent reconstructive surgery which consecutively improved range of motion.

Author:Douktilar Tahn
Country:Dominica
Language:English (Spanish)
Genre:Sex
Published (Last):25 April 2017
Pages:459
PDF File Size:1.54 Mb
ePub File Size:7.33 Mb
ISBN:954-9-19288-861-4
Downloads:26156
Price:Free* [*Free Regsitration Required]
Uploader:Kigamuro



Abstract Although the prevalence of tuberculosis reduces, it still belongs to the most important infectious diseases worldwide even in industrial countries. We report an unusual case of tuberculous coxitis in a year-old healthy native female with recurrent hip pain. While X-ray and microbiological examination of the aspirate showed no abnormality, only extended diagnostic measurements and detailed history led to the diagnosis of TBC.

Although the patient did not show any pulmonary symptoms open tuberculosis was confirmed. After a course of antibiotic treatment she underwent reconstructive surgery which consecutively improved range of motion. This case report emphasizes that tuberculosis should still be considered as a significant disease even in healthy patients with uncertain complaints in joints without significant initial radiographic abnormalities.

We recommend the described diagnostic procedures as well as an antibiotic and surgical treatment. Keywords: Tuberculous coxitis, TBC, tuberculosis.

Analysis of In case of tuberculous coxitis TBC a prior pulmonary infection causes the affection of the joint by haematogenous spread. Early diagnosis can be difficult as the primary clinical symptoms at an early stage as well as radiological findings are often non-specific [ 5 ]. We report an unusual case of TBC in a year-old otherwise healthy native female with recurrent hip pain without a history of long-termed stays in foreign countries. A MRI of the pelvis performed 3 months before admittance showed a swelling of the capsule and reduction of the cartilage in the right hip joint which was considered as an early arthritis or coxitis.

After treatment with physiotherapy and oral non-steroidal antirheumatic medication the symptoms were regressive and no further diagnostic procedures were performed.

Caused by recently aggravation of pain in the right hip joint within the days before, the patient was not able to stand and walk and the range of motion ROM was painfully reduced.

Blood samples were normal except slightly increased CRP of 4. X-ray of the right pelvis showed a slight joint space narrowing with affection of the acetabulum and the femoral head Fig. An effusion was detected by ultrasound, aspiration of the hip joint led to no further diagnosis as aerobic and anaerobic cultures were sterile.

The MRI showed a joint space narrowing in the cranial part of the acetabulum with increased subchondral sclerosis as well as a synovial enhancement with bone marrow edema in the femoral head and the corresponding acetabulum.

ALHADAF NEWSPAPER LEBANON PDF

Tuberculosis of extrapulmonary localization: causes, symptoms, diagnosis, treatment

Peradangan tuberkulosis pada sendi panggul yang mengarah ke destruksi permukaan artikular dan disertai dengan fleksi-adduksi kontraktur yang menimbulkan nyeri. Keluhan biasanya ringan dan makin lama makin berat disertai perasaan lelah pada sore dan malam hari, subfebris, dan penurunan berat badan. Keluhan yang lebih berat seperti panas tinggi, malaise, keringat malam, anoreksia biasanya bersamaan dengan TB miliar. Pada tingkat awal, gejala sangat minimal, mungkin hanya ditemukan nyeri dan pembengkakan sendi panggul serta penderita sedikit pincang. Pada tingkat selanjutnya pembengkakan dan nyeri bertambah berat dan terdapat deformitas sendi.

ENIGMA OF AMIGARA FAULT PDF

Neglected Coxitis Tuberculosa Management in Children

Abstract Background Osteoarticular tuberculosis is rare in Germany. In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis with trochanteric bursitis, successfully treated with a fourfold tuberculostatic therapy. Case presentation We report the case of a year-old human immunodeficiency virus-negative Sudanese man with osteoarticular tuberculosis, who was originally admitted with the suspected diagnosis of ankylosing spondylitis. Low grade fever together with the positive result of an interferon-gamma release assay test as well as findings from magnetic resonance imaging provided clues to the diagnosis.

APOSTILA CRIMINALISTICA PDF

Coxitis Tb

.

Related Articles