Destructive osteoarthritis after delayed diagnosis of tuberculosis

被引:16
作者
Lange, CG
Getty, PJ
Morrissey, AB
George, AL
Young, PC
Armitage, KB
机构
[1] Med Univ Lubeck, Res Ctr Borstel, Med Clin, D-23845 Borstel, Germany
[2] Case Western Reserve Univ, Univ Hosp Cleveland, Dept Orthoped, Cleveland, OH 44106 USA
[3] Case Western Reserve Univ, Univ Hosp Cleveland, Dept Pathol, Cleveland, OH 44106 USA
[4] Case Western Reserve Univ, Univ Hosp Cleveland, Dept Med, Div Infect Dis, Cleveland, OH 44106 USA
[5] Case Western Reserve Univ, Univ Hosp Cleveland, Dept Pediat, Cleveland, OH 44106 USA
[6] Case Western Reserve Univ, Univ Hosp Cleveland, Dept Radiol, Cleveland, OH 44106 USA
关键词
tuberculosis; osteoarthritis; Mycobacterium tuberculosis; diagnostic delay; amputation;
D O I
10.1007/s15010-001-1194-7
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Osteoarticular tuberculosis rarely occurs in developed countries. Initial symptoms are often overlooked and the diagnosis is frequently delayed for several months. Thus, despite available diagnostic tools and accessible treatment, destruction of affected joints remains a complication of non-vertebral osteoarticular tuberculosis even in industrialized countries. We report a patient from Cleveland, Ohio, USA, in whom the delayed diagnosis of tuberculous osteoarthritis led to severe destruction of the Left knee and finally, after superinfection with Staphylococcus aureus, to an above-the-knee amputation. The epidemiology, presentation, diagnosis and treatment of nonvertebral tuberculous osteoarthritis are discussed.
引用
收藏
页码:46 / +
页数:5
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