Ten years follow up of a chronic tubercular osteomyelitis of the proximal tibia in infancy (original) (raw)
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Cystic tuberculosis osteomyelitis of the distal tibia in infancy
Türk Pediatri Arşivi, 2017
One-third of tuberculosis cases affect the musculoskeletal system. Solitary bone tuberculosis is a rare condition in infancy, has non-specific findings, and can be misdiagnosed easily. Cystic form tuberculosis may mimic many other pathologic conditions. In our case report, we present tuberculosis osteomyelitis of the distal tibia in a baby aged ten months who visited our outpatient department with swelling and pain in their left ankle. Curettage and debridement was performed twice for the lesion. An under-knee splint was applied for 3 months and anti-tuberculosis treatment was given for 12 months. There was no relapse during a five-year follow-up period. There was no epiphysis injury and deformity. In this case report, we discuss that bone tuberculosis, as a rare condition, must be considered in lytic lesions of the distal tibia metaphysis in infancy.
Bone Tuberculosis: Rare Condition Among Infants
Journal of Nepal Paediatric Society
Bone tuberculosis in infancy has become rare these days. Here we report a case of 12 months old male infant who had presented with complaints of fever and skin rash for one month, along with protuberance of toe joint for 15 days. He was being treated with antibiotics, vitamin D and calcium without improvement. Further investigations led to mycobacterium positivity in bone biopsy. He was treated with anti-tubercular therapy and he responded to the treatment dramatically. So, though rare, it is important to consider bone tuberculosis when there are bony issues even in infancy, especially in endemic regions like ours.
Bone tuberculosis: a case report on child
Revista da Sociedade Brasileira de Medicina Tropical, 2013
The authors report a case of a 12-year-old child with a complaint of pain and deformity in the lower thoracic region that had lasted for two years. Clinical, epidemiological and laboratory characteristics associated with images of apparent damage in the T9-T10 and T11-T12 vertebrae taken by radiography of the thoracic spine and nuclear magnetic resonance in addition to the positivity of the molecular test based on the polymerase chain reaction, led to tuberculous spondylitis being diagnosed and specific therapy was started. Culture of vertebral biopsy was positive for Mycobacterium tuberculosis after thirty days.
A Simple Approach for Diagnosis of Chronic Tuberculous Osteomyelitis: A Case Report
Archives of Clinical Infectious Diseases, 2017
Introduction: Osteomyelitis is a secondary complication in 1% to 3% of patients with pulmonary tuberculosis (TB). Definite diagnosis of TB-associated osteomyelitis is challenging for clinicians, as biopsies of deep osteoarticular tissues are necessary. Case Presentation: We present the case of a 50-year-old man, admitted to Imam Khomeini hospital, Tehran, Iran in March 2014. According to his self-report, he had a chronic ulcer on his left foot since September 2012. In physical examinations, there was a painful sinus tract orifice (2 × 2 cm) on the left medial malleolus. Magnetic resonance imaging (MRI) of the foot revealed osteomyelitis in the left ankle. Two biopsies were taken from the wound edge, and Mycobacterium tuberculosis was detected via polymerase chain reaction (PCR) assay. Conclusions: Today, in the diagnosis of TB-associated osteomyelitis, it is a common practice to obtain 3 osteoarticular tissue biopsies for microbiological evaluation, PCR analysis, and histopathological assessment. We suspect that biopsies from the edge of the sinus tract orifice may help diagnose TB osteomyelitis.
Tuberculosis with tubercular osteomyelitis of skull
International journal of health sciences
Tuberculous osteomyelitis of skull is a rare form of tuberculosis with an incidence of 0.2 – 1.3% of all skeletal tuberculosis. A 9-year-old boy presented with a history of prolonged fever, recurrent cough since 2 months before admitted and painless scalp swelling for the previous 1 month. A diagnosis of tubercular etiology was established with the rapid molecular test and histopathology of the fine needle aspiration biopsy specimen. The patient was kept on antitubercular treatment for 12 months. After 2 months treatment he responded well, with a marked resolution of symptoms and physical examination findings.
The journal of bone and joint surgery, 1997
Tuberculous osteomyelitis which does not involve a joint is uncommon and may fail to be diagnosed by an orthopaedic surgeon. We treated 28 lesions of tuberculous osteomyelitis in 25 patients between 1988 and 1995. The duration of symptoms was from two to 39 months, and most of our patients had been treated initially with non-steroidal anti-inflammatory drugs which failed to provide relief. Bone pain which does not promptly respond to analgesic medication is often due to infection or neoplasia. In the early stages, when plain radiographs are normal, MRI or CT may help to localise lesions. On plain radiographs, more advanced lesions may mimic chronic pyogenic osteomyelitis, Brodie's abscess, tumours or granulomatous lesions. Biopsy is mandatory to confirm the diagnosis, and antituberculous drugs are the mainstay of treatment. When operative findings at biopsy have the features of skeletal tuberculosis curettage of the affected bone may promote earlier healing.
Epiphyseal tuberculous osteomyelitis in a child: a case report
Progress in Orthopedic Science, 2016
Tuberculosis (TB) still rates among the most important infectious diseases in the world, especially in developing countries. Skeletal TB manifests mainly as spondylitis, arthritis, and less frequently, as osteomyelitis. TB osteomyelitis usually develops in the metaphyses of long bones. It is rare for TB to affect the epiphysis directly, without involving the metaphysis. Epiphseal lesions due to TB are lytic in formation. A 7-year-old child presented with epiphyseal tuberculous osteomyelitis which had affected the medial condyle of his right femur substantially. He underwent debridement, curettage, and grafting. He also received a 1-year-long antituberculous therapy. Complete cure, with no sequelae, was obtained at the end of the therapy. We conclude that tuberculosis must be in the first-hand list of pathological conditions in the differentail diagnosis of lytic lesions encountered at the knees of children.