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Related Experiment Video

Updated: May 14, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

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Published on: March 31, 2023

Ruptured Tubercular Baker's Cyst: A Case Report.

Md Rashid Al Mahmood¹, A B M Mehedi²

¹Physical Medicine and Rehabilitation, Bangladesh Medical College, Road 14/a, Dhanmondi, Dhaka 1209, Bangladesh.

Case Reports in Rheumatology

|April 3, 2025

Summary

Tuberculosis (TB) can rarely cause a ruptured Baker's cyst, leading to knee and calf pain. Early diagnosis and anti-TB treatment are crucial for managing this uncommon condition.

Keywords:

extrapulmonary TB ruptured Baker's cyst tubercular Baker's cyst

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Area of Science:

Rheumatology
Infectious Diseases
Orthopedic Surgery

Background:

Tuberculosis (TB) is a systemic infection that can affect any organ.
Ruptured Baker's cyst secondary to TB is an exceptionally rare clinical presentation.
Early recognition is vital for effective management and patient outcomes.

Observation:

A young female presented with unilateral knee and calf pain and swelling.
Clinical presentation suggested a ruptured Baker's cyst with septic knee.
Synovial fluid analysis showed inflammatory markers and high adenosine deaminase, but negative cultures.

Findings:

Anti-tuberculosis therapy led to significant clinical and pathological improvement.
Standard empirical treatments were ineffective, highlighting the need for specific diagnosis.
High adenosine deaminase levels in synovial fluid are indicative of tuberculous effusions.

Implications:

This case underscores the importance of considering TB in unexplained monoarthritis, even with atypical presentations.
Integrated management involving diagnosis, drug therapy, and rehabilitation is essential.
Challenges in diagnosis and management, particularly in resource-limited settings, require collaborative approaches.