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Osteoarticular Tuberculosis of the Knee of a 2-Year-Old Boy. Case Report Tomonoshin Kanazawa 1 , Takashi Soejima 1 , Hidetaka Murakami 1 , Kensei Nagata 1 , Hidetomo Nakamura 2 1Department of Orthopaedic Surgery,Kurume University School of Medicine 2Department of Orthopaedic Surgery,Chikugo City Hospital Keyword: 結核(tuberculosis) , 骨関節結核(osteoarticular tuberculosis) , 膝(knee) pp.373-377
Published Date 2010/4/25
DOI https://doi.org/10.11477/mf.1408101716
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 The diagnosis of osteoarticular tuberculosis is often overlooked because of the absence of clinical findings. We report the case of a small child with osteoarticular tuberculosis of the knee. The patient was a 2-year-old boy whose parents took him to be examined,because he would not walk without any inducements. Inspection revealed slightly swelling of his left knee,but the blood tests were all negative. Three months later,tubercle bacilli were detected in a synovial fluid specimen,and MRI showed multiple abcesses around the knee. A diagnosis of osteoarticular tuberculosis of the knee was made,and the patient was treated surgically and with antitubercular drug therapy. As of 6 years postoperatively,there has been no recurrence of the osteoarthritis,limited range of motion (ROM),a varus-valgus deformity,and leg-length discrepancy. Because of the possibility of growth impairment in children with osteoarthritis,it must be included in the differential diagnosis of arthritis of the knee.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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