Synovial tuberculosis masquerading as monoarticular inflammatory arthritis

Subramaniam, Krisnan Rao and Nor Hadi, Nor Hamizan and Zakaria@Mohamad, Zamzuri (2019) Synovial tuberculosis masquerading as monoarticular inflammatory arthritis. Orthopaedic Surgery and Traumatology, 3 (1). pp. 12-15. ISSN 2573-4962

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Abstract

We report a case of a young girl presented with history of swelling over right knee for a period of 3 years which clinical, laboratory investigations and initial radiographic features were suggestive of auto-immune arthritis. Subsequently an open biopsy was done, although cultures were negative for MTB or NTM, histopathological examination (HPE) reported a chronic granulomatous inflammation which was highly suggestive of Tuberculosis (TB). She received anti-tuberculosis treatment for a total of one year and noted marked improvement which was evidently shown clinically and radiograhically. Musculoskeletal TB is known to be a great mimicker of other pathology. A high index of suspicion is needed especially in a TB-prone area.

Item Type:	Article (Case Report)
Additional Information:	3660/74000
Uncontrolled Keywords:	auto-immune arthritis, tuberculosis, granulomatous
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine
Depositing User:	Professor Zamzuri Zakaria
Date Deposited:	06 Sep 2019 16:22
Last Modified:	06 Sep 2019 16:22
URI:	http://irep.iium.edu.my/id/eprint/74000

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