Esteban Pedro L, Soriano Alex, Tomás Xavier, Quintana Luis, García-Ramiro Sebastián
Department of Orthopaedics Bone and Joint Infections Unit, Hospital Clínic, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain.
Arch Orthop Trauma Surg. 2006 Nov;126(9):631-3. doi: 10.1007/s00402-005-0087-0. Epub 2006 Jan 3.
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.
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.
Tuberculous aetiology should be considered in the differential diagnosis of knee arthritis.
随着人类免疫缺陷病毒大流行以及免疫功能低下患者数量的增加，结核病再度流行，骨关节结核的发病率也随之上升。
我们报告了一名55岁的血液透析慢性肾衰竭患者，该患者出现膝关节疼痛和发热症状。对关节液进行罗氏培养基培养，结果显示胫骨近端存在结核感染。进行了广泛切除，并辅以9个月的抗结核药物治疗。随访1年时，患者无症状。
在膝关节关节炎的鉴别诊断中应考虑结核病因。
