Knee Tuberculosis: a challenge in diagnosis and treatment

Tuberculosis (TB) is an ancient disease dated back from ancient Greece time. Once rare in developed countries, now it has re-emerged due to immigration and secondary immunodeficiency. A 27-year-old lady had left knee pain for the past 4 years, went for knee diagnostic arthroscopy procedure, and diag...

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Bibliographic Details
Main Authors: Muhammad Wafiuddin Ahmad, Ahmad Faizal Roslan, Ahmad Hafiz Zulkifly
Format: Article
Language:en
en
Published: Universiti Malaysia Sabah 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/30446/1/Knee%20Tuberculosis_%20A%20Challenge%20in%20Diagnosis%20and%20Treatment%20ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/30446/2/Knee%20Tuberculosis_%20A%20Challenge%20in%20Diagnosis%20and%20Treatment%20FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/30446/
https://jurcon.ums.edu.my/ojums/index.php/bjms/article/view/2271/1913
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Summary:Tuberculosis (TB) is an ancient disease dated back from ancient Greece time. Once rare in developed countries, now it has re-emerged due to immigration and secondary immunodeficiency. A 27-year-old lady had left knee pain for the past 4 years, went for knee diagnostic arthroscopy procedure, and diagnosed as pigmented villonodular synovitis (PVNS) of the left knee. Despite regular analgesics and physiotherapy, patient symptoms worsen. Two years after the initial treatment, the patient went for a further workout and diagnosed as knee tuberculosis, commenced on anti-TB treatment, the patient still left complicated with a stiff knee and fixed flexion deformity. Identification of knee tuberculosis during the initial phase is crucial as late diagnosis and treatment will leave the patient with debilitating complications.