Benchanna Rachid, Benjelloune Amine, Abdelafatah Zidane, Arsalane Adil, Janah Hicham, Oujaber Jamal, Boui Meriem, Samri Ikram, Bouchentouf Rachid
Service de Pneumologie de l´Hôpital Militaire Avicenne Marrakech, Marrakech, Maroc.
Service de Chirurgie Thoracique de l´Hôpital Militaire Avicenne Marrakech, Marrakech, Maroc.
Pan Afr Med J. 2020 Nov 6;37:225. doi: 10.11604/pamj.2020.37.225.26470. eCollection 2020.
Tuberculosis is a major global public health problem. Osteoarticular tuberculosis is very rare. In half of the cases it affects the vertebrae. Symptoms are insidious over a prolonged period and isolation of the pathogen is difficult, mostly leading to difficult and delayed diagnosis. We here report a new case of tuberculous arthritis of the knee in a teenager in whom the mean time between symtom onset and definitive diagnosis based on the detection of Mycobacterium tuberculosis genome by Xpert MTB/RIF test was eight months. This study emphasizes the importance of bacteriological sampling and diagnostic methods by molecular assay in early and definitive diagnosis of tuberculous arthritis.
结核病是一个重大的全球公共卫生问题。骨关节炎型结核病非常罕见。其中一半的病例会影响脊椎。症状在很长一段时间内隐匿出现，且病原体分离困难，大多导致诊断困难和延迟。我们在此报告一例青少年膝关节结核性关节炎的新病例，该病例从症状出现到通过Xpert MTB/RIF检测结核分枝杆菌基因组确诊的平均时间为8个月。本研究强调了细菌学采样和分子检测诊断方法在结核性关节炎早期和明确诊断中的重要性。
