Ambiguity of Primary Patellar Tuberculous Osteomyelitis as a Pre-Patellar Bursitis A Case Report

被引:0
|
作者
Patil, Sandeep Suresh [1 ]
机构
[1] Joints & Spine Clin, Mumbai, India
来源
ARCHIVES OF BONE AND JOINT SURGERY-ABJS | 2024年 / 12卷 / 05期
关键词
Acid- fast bacilli; Caseous necrosis; Endemic; Osteoarticular; Osteomyelitis; Prepatellar Bursitis; Tuberculosis;
D O I
10.22038/ABJS.2024.77845.3597
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Case: A 47-year-old male with swelling over the patella and associated pain, subsiding with medicines but recurring after a few days. Diagnosed as prepatellar bursitis by the family physician, it eventually turns out to be osteomyelitis of the patella. Treated with curettage, biopsy, and placement of biocomposite mixed with antibiotics. Intra-operative findings and histopathology confirmed tuberculosis of the patella. On follow-up after 6 years and the completion of anti-tuberculosis treatment, the patient showed full functional and radiological recovery without recurrence. Conclusion: Early treatment with antibiotics and surgery gives excellent results. Identifying it as a tuberculous osteomyelitis is challenging when the condition is closely resembles pre-patellar bursitis.
引用
收藏
页码:444 / 448
页数:5
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