Laasya Vasisht Dwarakanath^1,2* and Basavaraj CM¹

¹BGS Gleneagles Global Hospital, Bangalore, India
²Royal Orthopaedic Hospital , Bristol Road, Northfield, Birmingham, UK

*Corresponding Author: Laasya Vasisht Dwarakanath, Department of Spinal Surgery, Royal Orthopaedic Hospital, Bristol, Northfield, United Kingdom.

Received: February 17, 2022; Published: February 25, 2022

Abstract

Extra articular tuberculous bursitis is an extremely rare entity. Chemotherapy is the cornerstone of treatment with surgery only being indicated in recalcitrant cases. We present a case of a 45 year old male that presented to our clinic with medial knee swelling of 8months duration, on and off fever and night sweats. After examination, mildly restricted ROM & medial knee swelling was found. Aspiration of knee was diagnostic for Tuberculosis. Chemotherapy was commenced and patient was well at 1 year follow up. Early suspicion, diagnosis and treatment can definitely decrease the morbidity and the severity of the disease.

Keywords: Tuberculosis; Bursitis; Knee; Chemotherapy; Tibial Collateral Ligament

Bibliography

1. Syed Shafeequr Rahman., et al. “Tuberculous Synovitis of the knee with a discharging sinus”. MRIMS Journal of Health Sciences2 (2017): 74-76.
2. World Health Organisation; TB Factsheet (2021).
3. IF Abdelwahab., et al. “Atypical Extraspinal Musculoskeletal Tuberculosis in Immunocompetent Patients: Part II, Tuberculous Myositis, Tuberculous Bursitis, Tuberculous Tenosynovites”. Canadian Association of Radiologists Journal 57 (2006): 278-286.
4. Sawlani V., et al. “MRI Features of Tuberculosis of Peripheral Joints”. Clinical Radiology 10 (2003): 755-762.
5. Mittal R., et al. “Tuberculosis of Patella”. The Knee 13 (2006): 54-56.
6. M Crespo., et al. “Tuberculous Trochanteric Bursitis: Report Of 5 Cases And Literature Review”. Scandinavian Journal of Infectious Diseases 36 (2004): 552-558.
7. Kristoff Corten., et al. “Chronic Posttraumatic Bursitis Of The Medial Collateral Ligament”. The American Journal of Sports Medicine 3 (2017): 610-613.
8. Priyank S Chatra. “Bursae Around the Knee Joints”. Indian Journal of Radiology and Imaging1 (2012): 27-30.
9. Ramos-Pascua LR., et al. “Bursectomy, Curettage, and Chemotherapy In Tuberculous Trochanteric Bursitis”. Clinics in Orthopedic Surgery 1 (2016): 106-109.
10. Moujtahid M., et al. “La Tuberculose Isolée du Kyste Poplité. A Propos d'un Cas [Isolated Tuberculosis Of Popliteal Cyst. Apropos Of A Case]”. Revue De Chirurgie Orthopedique Et Reparatrice De L'appareil Moteur 3 (1996): 260-262.
11. Hamabuchi M and Takeda Z. “Isolated tuberculosis of the popliteal cyst”. Nihon Geka Hokan 59.4 (1990): 337-343.
12. Chan YLC and Lui TH. “Endoscopic Resection of Recalcitrant Tuberculous Bursitis of the Popliteal Fossa”. Arthroscopy Techniques8 (2021): E1929-E1933.
13. Babu Tummala Venkata Suresh., et al. “Tuberculous Arthritis of Knee Presenting as Bakers Cyst: a Case Report”. International Journal of Physical Medicine and Rehabilitation 5 (2014): 319-324.

Citation: Laasya Vasisht Dwarakanath and Basavaraj CM. “An Unusual Case of Extra Articular Tuberculosis Around the Knee". Acta Scientific Clinical Case Reports 3.3 (2022): 66-69.

Copyright: © 2022 Laasya Vasisht Dwarakanath and Basavaraj CM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.