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논문 기본 정보

자료유형
학술저널
저자정보
Radhakrishnan Pattu (Government Mohan Kumaramangalam Medical College Hospital) Girinivasan Chellamuthu (Government Mohan Kumaramangalam Medical College Hospital) Kumar Sellappan (Government Mohan Kumaramangalam Medical College Hospital) Kamalanathan Chendrayan (Government Mohan Kumaramangalam Medical College Hospital)
저널정보
대한견주관절의학회 대한견주관절의학회지 대한견주관절의학회지 제25권 제2호
발행연도
2022.6
수록면
158 - 162 (5page)

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초록· 키워드

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The incidence of musculoskeletal tuberculosis (TB) is on the rise due to the current Acquired Immunodeficiency Syndrome (AIDS) pandemic. Spine is the most common osseous site, followed by other joints. TB identified in the elbow accounts for 2%–5% of skeletal TB cases, which are secondary to pulmonary TB. Primary elbow TB is rare. We report a case of primary TB of the elbow which had a negative synovial biopsy. A 46-year-old right-hand dominant female patient with chronic pain and disability of the right elbow was diagnosed with chronic non-specific arthritis based on an arthroscopic synovial biopsy. The case was diagnosed retrospectively as active TB from bone cuts post total elbow arthroplasty. Anti-tuberculosis treatment (ATT) was given postoperatively for 12 months. The patient reported good functional outcomes at 3 years of follow-up. Such atypical presentations of osteoarticular TB are challenging to diagnose. Therefore, particularly in endemic areas, clinicians should be careful before excluding such a diagnosis even after a negative biopsy. Further research should investigate whether active TB of small joints such as the elbow can be treated with ATT, and early arthroplasty should be a focus of this research.

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