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[Multifocal tuberculosis in a 15-year-old child].

L Valdes, J P Harpey, J Noseda

    Archives Francaises De Pediatrie
    |January 1, 1986
    PubMed
    Summary

    Tuberculosis can manifest as skeletal lesions and joint swelling in adolescents. Early diagnosis and treatment with anti-tuberculous chemotherapy are crucial for managing symptoms, though long-term joint complications may require surgical intervention.

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    BJOG : an international journal of obstetrics and gynaecology·2007

    Area of Science:

    • Orthopedics
    • Infectious Diseases
    • Radiology

    Background:

    • Tuberculosis (TB) is a significant global health concern, primarily affecting the lungs but capable of causing extrapulmonary manifestations.
    • Skeletal tuberculosis, though less common, can present with diverse clinical and radiological findings, posing diagnostic challenges.

    Observation:

    • A 15-year-old male presented with juxta-articular swellings, lacunar bone lesions, prolonged fever, and cachexia.
    • Multiple bacteriological investigations were performed.
    • A trans-osseous puncture of tibial lacunar lesions successfully identified Bacillus tuberculosis.

    Findings:

    • The patient was treated with triple anti-tuberculous chemotherapy.
    • Resolution of fever and juxta-articular swellings was observed following treatment.
    • Persistent articular ankylosis, potentially requiring surgical correction, remained a sequela.

    Implications:

    • This case highlights the importance of considering tuberculosis in the differential diagnosis of pediatric skeletal lesions and joint swellings.
    • Prompt microbiological confirmation and initiation of appropriate anti-tuberculous therapy are essential for favorable outcomes.
    • Long-term sequelae such as joint stiffness necessitate ongoing management and potential surgical intervention.

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