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[Tuberculosis of ankle].

S Rubio Barbón1, B Rodríguez Cocina, R Suárez del Villar Acebal

  • 1Servicio de Medicina Interna, Hospital de Cangas del Narcea, Oviedo. 71616620@eresmas.net

Anales De Medicina Interna (Madrid, Spain : 1984)
|October 13, 2004
PubMed
Summary

Tuberculous arthritis of the ankle, caused by Mycobacterium tuberculosis, can be difficult to diagnose, even with normal or low-suspicion imaging. This case highlights the importance of considering tuberculosis in joint effusions, especially when other tests are positive.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Rheumatology

Background:

  • Tuberculous arthritis is a rare but serious joint infection.
  • Diagnosis can be challenging, particularly in immunocompetent individuals.
  • Early recognition is crucial for effective treatment and joint preservation.

Observation:

  • A case of tuberculous arthritis of the ankle in an immunocompetent patient is presented.
  • Synovial fluid and sputum aspirate were positive for Mycobacterium tuberculosis (Lowenstein positive).
  • Radiological findings were normal or low-suspicion, complicating the diagnosis.

Findings:

  • Mycobacterium tuberculosis confirmed as the causative agent.
  • Demonstrates diagnostic challenges in tuberculous arthritis.

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  • Highlights the utility of microbiological analysis of synovial fluid and sputum.

    • Implications:

    • Emphasizes the need for a high index of suspicion for tuberculous arthritis in non-specific joint effusions.
    • Suggests that microbiological confirmation is key when imaging is inconclusive.
    • Informs clinical practice regarding the diagnosis and management of tuberculous arthritis.