PDF(Pubmed)
Abstract：
UNASSIGNED: 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).
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■结核病（TB）是全球最普遍的传染病之一，通常表现为非特异性症状，可以模糊诊断，特别是当它表现在不常见的部位，如骨关节结核（OA-TB）。
■我们报告了一例罕见的病例，一名9岁男性在经历了几个月的严重症状后被诊断为右膝结核。尽管在最初的清创手术中进行了多次阴性活检和抽吸，6个月后进行的活检证实了结核分枝杆菌(MTB)的存在.患者随后接受清创术和抗结核治疗。
此例病例强调了在慢性骨痛患者中考虑结核病的迫切需要，以避免误诊。特别是在发展中国家。这位年轻患者的骨关节结核的非典型表现强调了医疗保健专业人员需要识别微妙的症状。先进的成像研究，如核磁共振成像和微生物学评估，包括现场活检，对准确诊断至关重要。提高认识和合作研究对于提高对小儿骨关节结核和肺外结核的理解和管理至关重要。
■我们报告了一例罕见的病例，一名9岁男性在经历了几个月的严重症状后被诊断为右膝结核。尽管在最初的清创手术中进行了多次阴性活检和抽吸，6个月后进行的活检证实了结核分枝杆菌(MTB)的存在.患者随后接受清创术和抗结核治疗。
此例病例强调了在慢性骨痛患者中考虑结核病的迫切需要，以避免误诊。特别是在发展中国家。这位年轻患者的骨关节结核的非典型表现强调了医疗保健专业人员需要识别微妙的症状。先进的成像研究，如核磁共振成像和微生物学评估，包括现场活检，对准确诊断至关重要。提高认识和合作研究对于提高对小儿骨关节结核和肺外结核的理解和管理至关重要。
