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An Unusual Manifestation of Osteoarticular Tuberculosis: Case Report

Frane Grubišić
Igor Borić
Adelmo Šegota
Božo Krušlin
Simeon Grazio


Puni tekst: engleski pdf 237 Kb

str. 237-240

preuzimanja: 668

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Sažetak

Although osteoarticular tuberculosis is usually presented as monoarthritis of the large, weight-bearing joints (predominantly hip, knee or ankle joint), or in the form of spinal disease, it is rarely seen as oligoarthritis. In this article, we present case history of a female patient with tuberculous oligoarthritis of the right talocrural joint and left talocalcaneal joint. A 77-year-old female patient was admitted to our department due to the symptoms of painful and swollen right talocrural joint and left talocalcaneal joint accompanied with fever, general weakness and night sweating. Laboratory findings, including erythrocyte sedimentation rate, whole blood count, liver and kidney functional tests showed no significant changes. Plain x-rays and magnetic resonance imaging of the affected joints showed demineralization, significant narrowing of joint space, erosions of articular surfaces, numerous calcifications, and ankylosis of both right talocrural and left talocalcaneal joint. Synovial biopsy confirmed the diagnosis of tuberculous arthritis. Our patient underwent triple tuberculostatic therapy with rifampicin, isoniazid and pyrazinamide, which resulted in the resolution of arthritis.

Ključne riječi

TTuberculosis, osteoarticular; Ankle joint; Case report

Hrčak ID:

127696

URI

https://hrcak.srce.hr/127696

Datum izdavanja:

1.7.2014.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.983 *