Multifocal skeletal tuberculosis in an immunocompetent patient: a case report

The occurrence of multifocal skeletal involvement in immunocompetent patients is rare, even in countries where tuberculosis is endemic. Multifocal skeletal lesions may occur as a result of hematogenous dissemination from another primary focus such as cervical lymph nodes, lungs, tonsils or gastroint...

Full description

Saved in:
Bibliographic Details
Published in:BMC infectious diseases 2015-06, Vol.15 (1), p.235-235, Article 235
Main Authors: de Araujo, Paulo Sérgio Ramos, de Melo, Heloisa Ramos Lacerda, de Melo, Fábio Lopes, Medeiros, Zulma, Maciel, Maria Amélia, Florêncio, Renata, Brandão, Eduardo
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Arthroscopy - adverse effects
Case Report
DNA, Bacterial - analysis
Fistula
Humans
Immunocompromised Host
Knee - microbiology
Magnetic Resonance Imaging
Male
Middle Aged
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - isolation & purification
Osteoarthritis - therapy
Osteomyelitis - etiology
Osteomyelitis - microbiology
Polymerase Chain Reaction
Tuberculosis - diagnosis
Tuberculosis - drug therapy
Tuberculosis - microbiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The occurrence of multifocal skeletal involvement in immunocompetent patients is rare, even in countries where tuberculosis is endemic. Multifocal skeletal lesions may occur as a result of hematogenous dissemination from another primary focus such as cervical lymph nodes, lungs, tonsils or gastrointestinal tract. We present a 59 year-old man with a history of intermittent and disabling pain in his left knee for 2 years. The patient in this case presented with lung infection with bilateral skeletal dissemination in the knees and femurs. Immunological examination for the HIV was negative. Diagnosis of this condition is not always easy because of the disease's insidious character, and it can be confused with other diseases such as osteoarthritis, especially in middle-aged individuals.
ISSN:1471-2334
1471-2334
DOI:10.1186/s12879-015-0985-x