Davis Rebecca, Higgens Clare, Cosgrove Catherine, Shur Joshua, Arkell Paul
Infectious Diseases, St George's University Hospital NHS Foundation Trust, London, UK.
Radiology, St Mark's Hospital, Harrow, London.
BMJ Case Rep. 2018 Jun 29;2018:bcr-2018-224288. doi: 10.1136/bcr-2018-224288.
We present a case of a 31-year-old man of Indian origin with no previous medical history who presented with an inflamed knee. Treatment for bacterial infection was unsuccessful, and needle aspiration of the left knee effusion/collection was smear and culture positive for tuberculosis (TB), despite Xpert MTB/RIF being falsely negative. The patient was commenced on quadruple therapy for TB and within 2 months had improved significantly with no clinical evidence of ongoing inflammation.
我们报告一例31岁的印度裔男性病例，该患者既往无病史，因膝关节发炎前来就诊。针对细菌感染的治疗未成功，尽管Xpert MTB/RIF检测结果为假阴性，但左膝关节积液/积脓的针吸涂片和培养结果显示结核（TB）呈阳性。该患者开始接受四联抗结核治疗，2个月内病情显著改善，无持续炎症的临床证据。
