Tuberculous synovitis of the knee in a 65-year-old man
Introduction. Tuberculous (TB) synovitis is a rare, treatable, potentially lethal form of extrapulmonary TB resulting from massive lymphohematogenous dissemination of Mycobacterium tuberculosis (M. tuberculosis). We presented a case of TB synovitis of the knee in a Caucasian HIV negative man from Ro...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2009-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500912019C.pdf |
| _version_ | 1828286148152131584 |
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| author | Ciobanu Laura D. Pešut Dragica P. |
| author_facet | Ciobanu Laura D. Pešut Dragica P. |
| author_sort | Ciobanu Laura D. |
| collection | DOAJ |
| description | Introduction. Tuberculous (TB) synovitis is a rare, treatable, potentially lethal form of extrapulmonary TB resulting from massive lymphohematogenous dissemination of Mycobacterium tuberculosis (M. tuberculosis). We presented a case of TB synovitis of the knee in a Caucasian HIV negative man from Romania, a high TB incidence country. Case report. A 65-year old man presented with cough, high fever, mild wheezing, and swelling of the left knee. Chest radiography was normal. Sputum smears were Acid Fast Bacilli negative and Löwenstein-Jensen (L-J) culture negative for M. tuberculosis. Tuberculin skin test was negative. Respiratory symptoms disappeared in a week under antibiotics. Positive L-J cultures of knee punctation and favourable treatment outcome following standardized antituberculous treatment regimen confirmed the diagnosis of specific synovitis, which was also demonstrated by Magnetic Resonance Imaging (MRI). Conclusion. Tuberculous synovitis is important differencial diagnosis in patients with arthropathies and risk factors for TB in all the countries and all patients' ages even when tuberculin skin test is negative. |
| first_indexed | 2024-04-13T09:27:22Z |
| format | Article |
| id | doaj.art-1058faa1a2c24613afe8b3616e0819d0 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-04-13T09:27:22Z |
| publishDate | 2009-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-1058faa1a2c24613afe8b3616e0819d02022-12-22T02:52:23ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502009-01-0166121019102210.2298/VSP0912019CTuberculous synovitis of the knee in a 65-year-old manCiobanu Laura D.Pešut Dragica P.Introduction. Tuberculous (TB) synovitis is a rare, treatable, potentially lethal form of extrapulmonary TB resulting from massive lymphohematogenous dissemination of Mycobacterium tuberculosis (M. tuberculosis). We presented a case of TB synovitis of the knee in a Caucasian HIV negative man from Romania, a high TB incidence country. Case report. A 65-year old man presented with cough, high fever, mild wheezing, and swelling of the left knee. Chest radiography was normal. Sputum smears were Acid Fast Bacilli negative and Löwenstein-Jensen (L-J) culture negative for M. tuberculosis. Tuberculin skin test was negative. Respiratory symptoms disappeared in a week under antibiotics. Positive L-J cultures of knee punctation and favourable treatment outcome following standardized antituberculous treatment regimen confirmed the diagnosis of specific synovitis, which was also demonstrated by Magnetic Resonance Imaging (MRI). Conclusion. Tuberculous synovitis is important differencial diagnosis in patients with arthropathies and risk factors for TB in all the countries and all patients' ages even when tuberculin skin test is negative.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500912019C.pdfsynovitiskneetuberculosis, osteoarticularRomania |
| spellingShingle | Ciobanu Laura D. Pešut Dragica P. Tuberculous synovitis of the knee in a 65-year-old man Vojnosanitetski Pregled synovitis knee tuberculosis, osteoarticular Romania |
| title | Tuberculous synovitis of the knee in a 65-year-old man |
| title_full | Tuberculous synovitis of the knee in a 65-year-old man |
| title_fullStr | Tuberculous synovitis of the knee in a 65-year-old man |
| title_full_unstemmed | Tuberculous synovitis of the knee in a 65-year-old man |
| title_short | Tuberculous synovitis of the knee in a 65-year-old man |
| title_sort | tuberculous synovitis of the knee in a 65 year old man |
| topic | synovitis knee tuberculosis, osteoarticular Romania |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500912019C.pdf |
| work_keys_str_mv | AT ciobanulaurad tuberculoussynovitisofthekneeina65yearoldman AT pesutdragicap tuberculoussynovitisofthekneeina65yearoldman |