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A 5-year-old boy with miliary and osteoarticular tuberculosis
Charles Henry Washington1, Peninnah Oberdorfer2
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
BMJ Case Reports
|May 30, 2014
Summary
Extrapulmonary tuberculosis (TB) can affect bones and joints. Early diagnosis and treatment of osteoarticular TB in children are crucial for favorable outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Orthopedics
Background:
- Osteoarticular involvement is a recognized manifestation of extrapulmonary tuberculosis (TB).
- Diagnosis of TB can be challenging, potentially leading to treatment delays.
Observation:
- A 5-year-old boy presented with prolonged right hip pain, decreased range of motion, fever, cough, and poor appetite.
- Radiographs revealed a miliary pattern in the chest and osteolytic lesions in the right acetabulum.
- Physical examination showed signs of respiratory distress and hip joint involvement.
Findings:
- The patient was diagnosed with osteoarticular tuberculosis affecting the hip.
- Treatment included anti-TB medication, cefotaxime, and ofloxacin due to concerns of drug resistance.
- Surgical debridement of the right hip was performed.
Implications:
- Prompt diagnosis and management of extrapulmonary TB are essential for improving patient mobility and outcomes.
- This case highlights the importance of considering TB in children with persistent joint pain and systemic symptoms.
- Aggressive treatment, including surgical intervention, can lead to significant symptom improvement in cases of osteoarticular TB.
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