儿童膝关节结核性单关节炎：一例报告
Mycobacterium Tuberculosis Monoarthritis of the Knee in Children: A Case Report.
作者信息
Carender Christopher N, Akoh Craig Chike, Kowalski Heather R
机构信息
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics.
出版信息
Iowa Orthop J. 2018;38:17-23.
UNLABELLED
Mycobacterium tuberculosis monoarthritis is a rare form of TB, occurring in 1-2% of cases in the United States. Delays in definitive diagnosis and subsequent treatment are common. While case reports of tuberculous arthritis have been presented in international literature, there is a relative paucity of literature from within the United States. Given the difficulty in diagnosis and adverse outcomes of delayed diagnosis, we present the case of an 11-year-old otherwise healthy male with isolated monoarticular TB septic arthritis of the right knee. A discussion, including review of current literature, regarding presentation, diagnosis, and treatment of tuberculous monoarthritis follows. The emerging role of arthroscopy as a diagnostic and treatment modality for tuberculous monoarthritis of the knee is discussed.
LEVEL OF EVIDENCE
VI.
未标注
结核分枝杆菌单关节炎是结核病的一种罕见形式，在美国1%-2%的病例中出现。明确诊断和后续治疗的延迟很常见。虽然国际文献中有结核性关节炎的病例报告，但美国国内的相关文献相对较少。鉴于诊断困难以及延迟诊断的不良后果，我们报告一例11岁健康男性，患有右膝孤立性单关节结核性脓毒性关节炎。随后进行了讨论，包括对当前文献的回顾，涉及结核性单关节炎的表现、诊断和治疗。还讨论了关节镜检查在膝关节结核性单关节炎诊断和治疗中的新作用。
证据级别
VI。
Zotero 插件