Gonzalez R, Heiss W H
Monatsschr Kinderheilkd. 1986 Mar;134(3):161-3.
The case of a 17-month-old boy with tuberculosis of the knee is presented. Problems in diagnosis and treatment of this uncommon joint disease are pointed out. This complication is becoming nearly unknown, so that nowadays the diagnosis and therapy are almost regularly delayed. In every case of disease of the knee all diagnostic methods have to be used to recognize it. In this case, 5 months of therapy elsewhere passed before the diagnosis was made at a surgical exploration with biopsy of the joint. After drainage, inmobilisation and chemotherapy the healing was uneventful. The patient has no complaints and has full range movement of the knee 1/2 year after the end of therapy.
本文介绍了一名17个月大患膝关节结核男孩的病例。指出了这种罕见关节疾病在诊断和治疗方面的问题。这种并发症如今几乎不为人知,以至于目前诊断和治疗几乎经常被延误。对于每一例膝关节疾病,都必须运用所有诊断方法来识别它。在这个病例中,在其他地方经过5个月的治疗后,才在一次手术探查并对关节进行活检时得以确诊。经过引流、固定和化疗后,愈合过程顺利。治疗结束半年后,患者无不适主诉,膝关节活动范围正常。