Department of Orthopedics, All India Institute of Medical Sciences Jammu, Vijaypur, Jammu and Kashmir, India
Department of Orthopaedics, Government Medical College Kathua, Kathua, Jammu and Kashmir, India.
BMJ Case Rep. 2024 Aug 30;17(8):e261535. doi: 10.1136/bcr-2024-261535.
Patellar tuberculosis (TB) is a rare manifestation of musculoskeletal tuberculosis, accounting for a small proportion of cases. This case report presents a detailed analysis of a female patient in her early 30s who presented with isolated TB of the patella without concurrent pulmonary involvement. The patient received antitubercular chemotherapy, consisting of a 4-month intensive phase followed by an 8-month continuation phase. This case report underscores the rarity and diagnostic complexities associated with patellar TB. The condition often presents with non-specific symptoms, often mimicking prepatellar bursitis, necessitating a high level of clinical suspicion, particularly in patients from the endemic areas. Radiographic imaging and histopathological examination play crucial roles in establishing an accurate diagnosis. Antitubercular chemotherapy forms the cornerstone of treatment while surgical intervention is reserved for cases of extensive bone destruction or treatment failure.
髌结核（TB）是一种罕见的肌肉骨骼结核表现，占病例的一小部分。本病例报告详细分析了一位 30 岁出头的女性患者，她患有孤立性髌结核而无并发肺部受累。该患者接受了抗结核化疗，包括 4 个月的强化期和 8 个月的巩固期。本病例报告强调了髌结核的罕见性和诊断复杂性。这种疾病常表现为非特异性症状，常类似于髌前滑囊炎，因此需要高度的临床怀疑，特别是在来自流行地区的患者中。影像学检查和组织病理学检查在确立准确诊断中起着关键作用。抗结核化疗是治疗的基石，而手术干预则保留用于广泛骨破坏或治疗失败的病例。
