Tuberculosis of knee mimicking synovial malignancy:a diagnostic dilemma
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : H. L. Nag Sameer Naranje
- چاپ و سال / کشور: 2010
Description
A 25-year-old man presented with painful swollen right knee of 7 years duration. Conventional radiographs and magnetic resonance imaging demonstrated a huge soft tissue mass with minimal bony involvement that mimicked soft tissue malignancy. Histopathology obtained by excisional biopsy revealed epithelioid granulomata without demonstrating acid-fast bacilli. When tuberculosis affects the joint, the adjacent synovial joint is usually involved. Cases with long duration where extensive soft tissue is involved and joint involvement is minimal are extremely rare and unusual. The fact that patient was undiagnosed for 7 years duration with such an unusual presentation of tuberculosis suggests that this disease is still full of surprises.
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-010-0740-3 Received: 3 June 2010 / Accepted: 15 December 2010