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[Bone tuberculosis in a hemodialyzed patient--a difficult diagnostic problem]
E Kisielnicka1, A Sulima-Gillow, B Rutkowski
1Kliniki Chorób Nerek Akademii Medycznej w Gdańsku.
Polskie Archiwum Medycyny Wewnetrznej
|September 1, 1994
Summary
Tuberculosis (TB) infection in the knee is rare in patients undergoing hemodialysis. This case highlights the importance of early diagnosis and treatment to prevent bone destruction from this uncommon arthritis.
Area of Science:
- Nephrology
- Infectious Diseases
- Rheumatology
Background:
- High incidence of tuberculosis (TB) observed in the hemodialysis population.
- Arthritis due to mycobacterial infection is infrequently reported in this demographic.
- Mycobacterial joint infections can mimic various other pathological conditions.
Observation:
- A 45-year-old male on renal replacement therapy for 8 years presented with right knee infection and peri-articular tissue involvement.
- No prior history of tuberculosis was noted.
- Chronic knee pain, swelling, and instability prompted surgical intervention for diagnosis.
Findings:
- Surgical extraction of diagnostic material confirmed a diagnosis of tuberculosis arthritis.
- The case underscores the rarity of mycobacterial arthritis in the context of hemodialysis.
Implications:
- Delayed diagnosis and treatment of tuberculous arthritis can lead to significant bone destruction.
- Increased awareness and diagnostic vigilance are crucial for hemodialysis patients presenting with joint symptoms.
- This case contributes to the limited literature on tuberculous arthritis in renal replacement therapy patients.