Natsis K, Grammatikopoulou D, Kokkinos P, Fouka E, Totlis T
Department of Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.
European Interbalkan Medical Center, Thessaloniki, Greece.
Hippokratia. 2017 Apr-Jun;21(2):97-100.
Isolated ankle joint tuberculous arthritis is extremely rare, comprising an incidence lower than 5 % of skeletal tuberculosis (TB). Description of the case: We present an unusual case of isolated tubercular arthritis of the ankle in a 25-year-old male where the definitive diagnosis was difficult to be reached. The clinical examination revealed slight edema and a slight increase in local skin temperature. Based on magnetic resonance imaging performed, the diagnosis of septic arthritis was made. The arthroscopic appearance of the synovium and polymerase chain reaction analysis (PCR) of the synovial fluid revealed tuberculous arthritis.
TB should be included in the differential diagnosis of inflammatory arthritis in patients with persistent pain and swelling of the ankle. HIPPOKRATIA 2017, 21(2): 97-100.
孤立性踝关节结核性关节炎极为罕见，发病率低于骨结核的5%。病例描述：我们报告一例25岁男性的罕见孤立性踝关节结核性关节炎病例，确诊困难。临床检查发现轻度水肿和局部皮肤温度略有升高。基于所做的磁共振成像，诊断为化脓性关节炎。滑膜的关节镜表现及滑液的聚合酶链反应分析（PCR）显示为结核性关节炎。结论：对于踝关节持续疼痛和肿胀的患者，结核应列入炎性关节炎的鉴别诊断中。《希波克拉底》2017年，21(2): 97 - 100。
