MDR TB of Knee Joint: A Rare Case Presentation
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 2
Abstract
Tuberculosis may develop in the skeletal system apart from its primary location, the lungs. Tuberculous (TB) arthritis accounts for approximately 1-3% of all cases of tuberculosis and for approximately 10-11% of extrapulmonary cases. A 26-year-old male patient presented with complaints of severe pain and swelling in the left knee and difficulty in walking. The symptoms first appeared one year before and he underwent MRI scanning.MRI findings suggestive of infective arthritis of left knee joint, probably tubercular. He was started on anti-tuberculosis chemotherapeutic regimen for previously treated case. He took treatment for 9months.The patient had some degree of relief from the pain however the movement of the knee joint was restricted. The restriction increased progressively. Now the patient presented with high grade fever, swelling in the left knee joint. On further investigation he was found to have a recurrence of tuberculosis along with rifampicin resistance. Treatment for drug resistant tuberculosis was initiated.
Authors and Affiliations
Nithin K T1 , Sandeep Gupta2 , Nirmal Chand Kajal3 , Prasanth P4 , NS Neki5
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