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[Bacillary trochanteritis. Apropos of 30 cases]
J P Franceschi1, J Chapuis, G Curvale
1Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Conception, Marseille.
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|June 1, 1991
Summary
Tuberculous trochanteritis, a rare hip condition, often presents with abscesses in tuberculosis patients. Early diagnosis and specific antibiotic therapy are key, with surgery needed for advanced cases.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculous trochanteritis is an uncommon manifestation of tuberculosis.
- It frequently occurs in patients with pre-existing, long-standing tuberculosis.
- Abscess formation in the trochanteric serous bursa is a common complication.
Purpose of the Study:
- To describe the clinical characteristics, diagnostic challenges, and management outcomes of tuberculous trochanteritis.
- To highlight the importance of recognizing this rare condition, even as a presenting feature of tuberculosis.
Main Methods:
- Retrospective case series analysis of 30 patients diagnosed with tuberculous trochanteritis.
- Review of clinical presentations, radiological findings, treatment strategies, and patient outcomes.
Main Results:
- The study identified 30 cases, with two-thirds seen in sanatoria.
- Abscess of the trochanteric serous bursa was a near-constant complication.
- While often slow-progressing, secondary complications like coxalgia occurred.
- Radiological findings evolved with advanced imaging techniques.
- Two-thirds of cases responded to specific antibiotic therapy; 13 required surgical excision.
Conclusions:
- Tuberculous trochanteritis requires a high index of suspicion, especially in patients with tuberculosis.
- Prompt diagnosis and appropriate antibiotic treatment are crucial.
- Advanced or aggressive forms may necessitate surgical intervention for optimal outcomes.