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- Title
Silent Case of Pediatric Osteoarticular Tuberculosis: A Case Report and Review of the Literature.
- Authors
Alshrouf, Mohammad Ali; Elifranji, Zuhdi O; Halayqeh, Sereen; Al-Saber, Munther; Karam, Abdulrahman M
- Abstract
Introduction: Tuberculosis (TB) is one of the most prevalent infectious diseases globally, often presenting with nonspecific symptoms that can obscure diagnosis, especially when it manifests in uncommon sites such as osteoarticular tuberculosis (OA-TB). Case presentation: We report a rare case of a 9-year-old male diagnosed with right knee tuberculosis after enduring severe symptoms for several months. Despite multiple negative biopsies and aspirates during initial debridement surgeries, a biopsy taken 6 months later confirmed the presence of Mycobacterium tuberculosis (MTB). The patient was subsequently treated with debridement and anti-tubercular therapy. Conclusion: This case underscores the critical need to consider tuberculosis in patients presenting with chronic bone pain to avoid misdiagnosis, particularly in the developing world. The atypical presentation of osteoarticular tuberculosis in this young patient emphasizes the need for healthcare professionals to recognize subtle symptoms. Advanced imaging studies like MRI and microbiological evaluations, including site biopsies, are essential for accurate diagnosis. Increased awareness and collaborative research are crucial to improving the understanding and management of pediatric osteoarticular tuberculosis and extrapulmonary tuberculosis.
- Subjects
KNEE pain; BIOPSY; PYRAZINAMIDE; ETHAMBUTOL; ISONIAZID; EDEMA; FEVER; MAGNETIC resonance imaging; ANTITUBERCULAR agents; MEDICAL drainage; X-rays; TUBERCULOSIS of the bones; JOINT tuberculosis; DEBRIDEMENT; ACCIDENTAL falls; TUBERCULOSIS; MYCOBACTERIUM tuberculosis; RIFAMPIN; SYMPTOMS; CHILDREN
- Publication
Clinical Medicine Insights: Case Reports, 2024, p1
- ISSN
1179-5476
- Publication type
Article
- DOI
10.1177/11795476241263683