Volume 26, Issue 121, March 2022

Chronic Hip Monoarthritic TB without Systemic Manifestations in young Female: A case report from KSA

Ahmed Abdullah Alghamdi

Assistant Professor of orthopedic surgery, College of Medicine, Al-Baha University, Al Baha, Saudi Arabia

ABSTRACT

Articular tuberculosis (AT) is caused mainly by Mycobacterium Tuberculosis (TB). Due to the infrequent presentation of the AT cases, there is a high probability of a misdiagnosis or delay of the accurate diagnosis that in most occasions results in inadequate therapy resulting in irreversible joint deterioration. This presented case report of a 30-year-old female was admitted complaining of hip pain in the right side for over a year. Probability of tuberculous arthritis being the cause of this woman complaint was not suspected; therefore she had been misdiagnosed for a long time. It was then identified as TB-arthritis but after a significant delay that necessitate the excision of large tuberculoma from the acetabulum and thigh. If the patient was precisely diagnosed in the proper time, she might success to be exactly treated without the need for the replacement arthroplasty. Therefore, TB arthritis should be supposed as one of the differential diagnosis in monoarticular arthritis and suspected in any age and any economic levels.

Keywords: TB, arthritis, hip joint, woman, KSA

Medical Science, 2022, 26, ms74e2087

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DOI: https://doi.org/10.54905/disssi/v26i121/ms74e2087

Published: 23 February 2022