Ruiz-Osuna C, González-Colunga R

Language: Spanish
References: 9
Page: 254-258
PDF size: 190.47 Kb.

ABSTRACT

Osteoarticular tuberculosis is a chronic inflammatory disease caused by Mycobacterium tuberculosis that affects joints. It reaches skeleton and joints by hematogenous spread. The clinical presentation includes localized pain associated with fever and weight loss. A cold abscess (swelling without inflammation) is strongly suggestive of musculoskeletal tuberculosis. Diagnosis requires a high degree of clinical suspicion, supported with radiological and laboratory techniques. Treatment requires thorough debridement of the joint and antitubercular medical treatment (isoniazid, rifampin, pyrazinamide, ethambutol, and streptomycin). We report a case of hip tuberculosis treated with resection arthroplasty, presenting as caseating abscess and severe destruction of the hip joint.

REFERENCES

1. Steinberg: La Cadera. Diagnóstico y tratamiento de su patología; 2da. Edición, Editorial Médica Panamericana, 2007: 706-728.

2. Farga V: Tuberculosis. 2da. Edición, Editoral Mediterráneo, 2002: 15-163.

3. Kumate: Manual de Infectología; 13a Edición, Editorial Méndez; 2000: 22-42.

4. Robbins: Patología Humana. 4a Edición, Editorial Panamericana; 1996: 720-31.

5. Mariconda M, Cozzolino A: Osteoarticular tuberculosis in a developed country. J Infect 2007; 54(4): 375-80.

6. Pertuiset E, Beaudreuil J: Epidemiological aspects of osteoarticular tuberculosis in adults. Retrospective study of 206 cases diagnosed in the Paris area from 1980 to 1994; Presse Med 1997; 26(7): 311-5.

7. Muradali D, Gold WL: Multifocal Osteoarticular tuberculosis; report of four cases and review of management. Clin Infect Dis 1993; 17(2): 204-9.

8. Mateo L, Ruiz J: Osteoarticular tuberculosis. Study of 53 cases. Med Clin (Barc) 2007; 129(13): 506-9.

9. Campbell: Cirugía ortopédica. 9a Edición, Editorial Panamericana; 2005: 641-701.