Tuberculous osteomyelitis of the knee: a case report.
BACKGROUND
With the resurge of tuberculosis, due to the pandemic of the human immunodeficiency virus and the increase in the number of immunocompromised patients, osteoarticular tuberculosis has increased too.


METHODS
We report of a 55-year-old patient, with chronic renal failure on haemodialysis, who presented with a painful knee and fever. Culture on Lowënstein-Jensen medium of joint liquid revealed a tuberculous affectation of the proximal tibia. Wide excision was performed, completed with 9 months of tuberculostatic drugs. At 1 year follow-up, the patient was free of symptoms.


CONCLUSIONS
Tuberculous aetiology should be considered in the differential diagnosis of knee arthritis.
Esteban
Pedro L
PL
Department of Orthopaedics Bone and Joint Infections Unit, Hospital Clínic, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain. pestebann@secot.es
Soriano
Alex
A
Tomás
Xavier
X
Quintana
Luis
L
García-Ramiro
Sebastián
S
D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D000995:Antitubercular Agents