Abstract
Paediatric Tuberculosis (TB) is known to have a wide range of presentations, and if left untreated, primary TB may lead to bone and joint involvement. 1-6% children with primary infection may develop bone & joint TB in 1-3 yrs if untreated. Osteoarticular TB can involve any bone or joint but vertebral involvement is most common then hip, knee, ankle among extra spinal osteoarticular TB. Here we report a case of 10 yr mch who had swelling of right knee with discharging sinus on left side of neck with reactionary pleural effusion right side. After the diagnosis ATT was started as per NTEP regimen and advised for follow-up after 4 weeks.
Keywords: TB, Osteoarticular, sinus, ATT, NTEP.
References
- Westall J. Tuberculosis levelling off worldwide. BMJ 1997;314:921.
- Rieder HL, Snider DE Jr., Cauthen GM. Extrapulmonary tuberculosis in the United States. Am Rev Respir Dis 1990;141: 347‑51.
- Houshian S, Poulsen S, Riegels‑Nielsen P. Bone and joint tuberculosis in Denmark: Increase due to immigration. Acta Orthop Scand 2000;71:312‑5.
- Girling DJ, Darbyshire JH, Humphries MJ, O’ Mahoney G. Extra‑pulmonary tuberculosis. Br Med Bull 1988;44:738‑56.
- Berman S, Kibel MA, Fourie PB, Strebel PM. Childhood tuberculosis and tuberculous meningitis: High incidence rates in the Western Cape of South Africa. Tuber Lung Dis 1992;73: 349‑55.
- Alghamdi AA, Awan FS, Maniyar IH, Alghamdi NA. Unusual manifestation of extrapulmonary tuberculosis. Case Rep Med. 2013; 2013:353798. doi: 10.1155/2013/353798. [PubMed: 23710189]
- Poncet A: De la polyarthrite tuberculose deformateoupseudo rheumatism chronique tuberculeux. Congres Francais Chirugie 1887, 1:732-739
- Hoffman EB, Allin J, Campbell JA, Leisegang FM: Tuberculosis of the knee. Clinical orthopaedics and related research 2002:100-106.
- Negi SS, Gupta S, Khare S, Lal S: Comparison of various microbiological tests including polymerase chain reaction for the diagnosis of osteoarticular tuberculosis. Indian journal of medical microbiology 2005, 23:245-248.
- Vivek Sharma, Rashid Anjum et al. Epidemiological pattern of Osteoarticular Tuberculosis in a Teaching hospital of Rural India: A prospective study. International Journal of Biomedical Research 2016; 7(5): 273-275.
Corresponding Author
Dr Satyapriya Sahu
Junior Resident, Dept of Paediatrics, MKCG Medical College, Berhampur, Ganjam, Odisha, 760004
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.76
