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Tuberculous synovitis in a HIV positive patient
K Wanjari1, V P Baradkar, M Mathur
1Department of Microbiology, Lokmanya Tilak Municipal Medical College, General Hospital, Sion, Mumbai-400 022, India.
Indian Journal of Medical Microbiology
|January 28, 2009
Summary
Tuberculosis of the knee joint is rare but can affect HIV-positive individuals. Early diagnosis using synovial fluid analysis and imaging aids effective antitubercular treatment.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) commonly affects the lungs but can impact the skeletal system.
- Appendicular skeletal TB is uncommon, with joints representing 30% of cases.
- The knee is the third most frequently affected joint in skeletal TB.
Observation:
- A case of tubercular synovitis of the knee in a 30-year-old, HIV-seropositive male is presented.
- Diagnosis involved Ziehl-Neelsen stain and Lowenstein Jensen culture of synovial fluid.
- Radiographic findings of the knee and chest X-ray were crucial for diagnosis.
Findings:
- The patient presented with knee joint tuberculosis.
- Pulmonary tuberculosis was suggested by chest X-ray findings.
- Synovial fluid analysis confirmed the presence of tubercle bacilli.
Implications:
- This case highlights the importance of considering TB in endemic areas, especially in immunocompromised patients.
- Prompt diagnosis and treatment are essential for managing skeletal TB.
- Effective response to antitubercular therapy was observed in this patient.
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