ISSN 2146-8370
 

Case Report 


Epiphyseal tuberculous osteomyelitis in a child: a case report

Ahmet Yılmaz, Bozkurt Gülek, Osman Çiloğlu.

Abstract
Tuberculosis (TB) still rates among the most important infectious diseases in the world, especially in developing countries. Skeletal TB manifests mainly as spondylitis, arthritis, and less frequently, as osteomyelitis. TB osteomyelitis usually develops in the metaphyses of long bones. It is rare for TB to affect the epiphysis directly, without involving the metaphysis. Epiphseal lesions due to TB are lytic in formation.
A 7-year-old child presented with epiphyseal tuberculous osteomyelitis which had affected the medial condyle of his right femur substantially. He underwent debridement, curettage, and grafting. He also received a 1-year-long antituberculous therapy. Complete cure, with no sequelae, was obtained at the end of the therapy. We conclude that tuberculosis must be in the first-hand list of pathological conditions in the differentail diagnosis of lytic lesions encountered at the knees of children.

Key words: Tuberculosis; osteomyelitis; epiphyses; child


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ahmet Yılmaz
Articles by Bozkurt Gülek
Articles by Osman Çiloğlu
on Google
on Google Scholar
Article Statistics
 Viewed: 868
Downloaded: 373
Cited: 0

REFERENCES
1. World Health Organization. Global Tuberculosis Report 2015. Geneva, Switzerland: WHO;2015.
2. Fonseca-Santos J. Tuberculosis in children. Eur J Radiol 2005; 55:202-8. [DOI via Crossref]    [Pubmed]   
3. Almeida A. Tuberculosis of the spine and spinal cord. Eur J Radiol 2005; 55:193-201. [DOI via Crossref]    [Pubmed]   
4. Teo HE, Peh WC. Skeletal tuberculosis in children. Pediatr Radiol 2004; 34:853-60 [DOI via Crossref]    [Pubmed]   
5. Garg RK, Somvanshi DS. Spinal tuberculosis: A review. J Spinal Cord Med 2011; 34:440–54. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
6. Rasool MN, Govender S, Naidoo KS. Cystic tuberculosis of bone in children. J Bone Joint Surg Br 1994; 76:113 -7. [Pubmed]   
7. Shih HN, Hsu RW, Lin TY. Tuberculosis of the long bone in children. Clin Orthop Relat Res 1997; 335:246-52. [Pubmed]   
8. Ridley N, Shaikh MI, Remedios D, Mitchell R. Radiology of skeletal tuberculosis. Orthopedics 1998; 21:1213- 20. [Pubmed]   
9. Rasool MN. Osseous manifestations of tuberculosis in children. J Pediatr Orthop 2001; 21:749-55. [DOI via Crossref]    [Pubmed]   
10. Edeiken J. Rontgen diagnosis of diseases of bone. 3rd ed. London: Williams & Wilkins; 1981; 30-397,757-71. [Pubmed]   
11. Gardner DJ, Azouz EM. Solitary lucent epiphyseal lesions in children. Skeletal Radiol 1998; 17:497-504. [DOI via Crossref]   
12. Hayek S, Issakov J, Ezra E, Wientroub S, Yaniv M. Atipical mycobacterial granulomatous epiphyseal osteomyelitis in an immunocompetent child. J Pediatr Orthop B 2003; 12:151-4. [Pubmed]   
13. De Vuyst D, Vanhoenacker F, Gielen J, Bernaerts A, De Schepper AM. Imaging features of musculoskeletal tuberculosis. Eur Radiol 2003; 13:1809-19. [DOI via Crossref]    [Pubmed]   
14. Lemme SD, Raymound AK, Cannon CP, Normand AN, Smith KC, Hughes DP. Primary tuberculosis of bone mimicking a lytic bone tumor. J Pediatr Hematol Oncol 2007; 29:198-202. [DOI via Crossref]    [Pubmed]   
15. World Health Organization. Guidance for national tuberculosis programmes on the management of tuberculosis in children. 2nd ed. Geneva, Switzerland: WHO;2014.

How to Cite this Article
Pubmed Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. Epiphyseal tuberculous osteomyelitis in a child: a case report. Prog Orthop Sci. 2016; 2(2): 10-13. doi:10.5455/pos.20160503012949


Web Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. Epiphyseal tuberculous osteomyelitis in a child: a case report. http://www.porthosci.com/?mno=217763 [Access: December 13, 2018]. doi:10.5455/pos.20160503012949


AMA (American Medical Association) Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. Epiphyseal tuberculous osteomyelitis in a child: a case report. Prog Orthop Sci. 2016; 2(2): 10-13. doi:10.5455/pos.20160503012949



Vancouver/ICMJE Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. Epiphyseal tuberculous osteomyelitis in a child: a case report. Prog Orthop Sci. (2016), [cited December 13, 2018]; 2(2): 10-13. doi:10.5455/pos.20160503012949



Harvard Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu (2016) Epiphyseal tuberculous osteomyelitis in a child: a case report. Prog Orthop Sci, 2 (2), 10-13. doi:10.5455/pos.20160503012949



Turabian Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. 2016. Epiphyseal tuberculous osteomyelitis in a child: a case report. Progress in Orthopedic Science, 2 (2), 10-13. doi:10.5455/pos.20160503012949



Chicago Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. "Epiphyseal tuberculous osteomyelitis in a child: a case report." Progress in Orthopedic Science 2 (2016), 10-13. doi:10.5455/pos.20160503012949



MLA (The Modern Language Association) Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu. "Epiphyseal tuberculous osteomyelitis in a child: a case report." Progress in Orthopedic Science 2.2 (2016), 10-13. Print. doi:10.5455/pos.20160503012949



APA (American Psychological Association) Style

Ahmet Yilmaz, Bozkurt Gulek, Osman Ciloglu (2016) Epiphyseal tuberculous osteomyelitis in a child: a case report. Progress in Orthopedic Science, 2 (2), 10-13. doi:10.5455/pos.20160503012949





Most Viewed Articles
  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952

  • The use of mesenchymal stem cells (MSCs) for cartilage regeneration in knee osteoarthritis
    E. Carlos RODRIGUEZ-MERCHAN
    Prog Orthop Sci. 2015; 1(1): 27-30
    » Abstract & References » doi: 10.5455/pos.20150413025729

  • Fractures through a biphalangeal toe: a pitfall to avoid
    Leanne L Seeger, Warren Chang, Benjamin D Levine, Benjamin Plotkin, Kambiz Motamedi
    Prog Orthop Sci. 2015; 1(1): 9-10
    » Abstract & References » doi: 10.5455/pos.20150519104244

  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054

  • The Surgical Treatment of Patellar Subluxation in a Case of Kabuki Make-Up Syndrome
    Ismail Boyraz, Bunyamin Koc, Ozgur Aldemir, Hakan Sarman
    Prog Orthop Sci. 2015; 1(1): 31-33
    » Abstract & References » doi: 10.5455/pos.20150508050717

  • Minimally Invasive Technique for Curettage of Benign Bone Tumors using Endoscopic Technique
    Costantino Errani, Mohammadreza Chehrassan, Davide Maria Donati,Cesare Faldini.
    Prog Orthop Sci. 2015; 1(1): 15-18
    » Abstract & References » doi: 10.5455/pos.20150512040320

  • Health-related quality of life in twins with clubfoot
    Vilhelm Engell, Frank Damborg, Mikkel Andersen , Kirsten Kyvik , Karsten Thomsen , Søren Overgaard
    Prog Orthop Sci. 2015; 1(1): 11-14
    » Abstract & References » doi: 10.5455/pos.20150503010430

  • Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital
    DINESH DHAR
    Prog Orthop Sci. 2015; 1(1): 37-40
    » Abstract & References » doi: 10.5455/pos.20150402065140

  • "Traumatic bilateral anterior glenohumeral dislocation .Should unsupervised training at local gym be allowed?"
    Hayat Ahmad Khan, Younis Kamal, Mohammad Ashraf Khan, Naseemul Gani, Munir Farooq, Adnan Zahoor
    Prog Orthop Sci. 2015; 1(1): 34-36
    » Abstract & References » doi: 10.5455/pos.20150519104717

  • Most Downloaded
  • Muscle herniation of the extremities: Two case report
    Oktay Belhan, Tevfik Yetis, Murat Gurger, Mehmet Kaya
    Prog Orthop Sci. 2016; 2(1): 4-7
    » Abstract & References » doi: 10.5455/pos.20160226123558

  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733

  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054

  • The use of mesenchymal stem cells (MSCs) for cartilage regeneration in knee osteoarthritis
    E. Carlos RODRIGUEZ-MERCHAN
    Prog Orthop Sci. 2015; 1(1): 27-30
    » Abstract & References » doi: 10.5455/pos.20150413025729

  • TOTAL HIP REPLACEMENT IN THE ACUTE MANAGEMENT OF ACETABULAR FRACTURES
    Giriraj Harshavardhan J.K., Ganesan Ram Ganesan, Jambu Nageswaran, Vijayaraghavan Phagal varthi
    Prog Orthop Sci. 2015; 1(2): 54-58
    » Abstract & References » doi: 10.5455/pos.20150920021932

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952

  • Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital
    DINESH DHAR
    Prog Orthop Sci. 2015; 1(1): 37-40
    » Abstract & References » doi: 10.5455/pos.20150402065140

  • Fractures through a biphalangeal toe: a pitfall to avoid
    Leanne L Seeger, Warren Chang, Benjamin D Levine, Benjamin Plotkin, Kambiz Motamedi
    Prog Orthop Sci. 2015; 1(1): 9-10
    » Abstract & References » doi: 10.5455/pos.20150519104244

  • LIPOMA OF THE RING FINGER IN A YOUNG FEMALE: CASE REPORT AND REVIEW OF LITERATURE
    Mohit Kumar Arora,Ela Madaan
    Prog Orthop Sci. 2016; 2(4): 37-39
    » Abstract & References » doi: 10.5455/pos.20161026022814

  • The Surgical Treatment of Patellar Subluxation in a Case of Kabuki Make-Up Syndrome
    Ismail Boyraz, Bunyamin Koc, Ozgur Aldemir, Hakan Sarman
    Prog Orthop Sci. 2015; 1(1): 31-33
    » Abstract & References » doi: 10.5455/pos.20150508050717

  • Most Cited Articles
  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054
    Cited : 4 times [Click to see citing articles]

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952
    Cited : 1 time [Click to see citing article]

  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733
    Cited : 1 time [Click to see citing article]

  • TOTAL HIP REPLACEMENT IN THE ACUTE MANAGEMENT OF ACETABULAR FRACTURES
    Giriraj Harshavardhan J.K., Ganesan Ram Ganesan, Jambu Nageswaran, Vijayaraghavan Phagal varthi
    Prog Orthop Sci. 2015; 1(2): 54-58
    » Abstract & References » doi: 10.5455/pos.20150920021932
    Cited : 1 time [Click to see citing article]

  • Periarticular Liposomal Bupivicaine Injection Decreases Length of Stay, Pain Scores, and Opioid Usage After Total Knee Arthroplasty When Compared to Femoral Nerve Block
    Xander Parisky, Brian Gilmer, Jennifer Harkins, Michael Karch
    Prog Orthop Sci. 2017; 3(1): 1-4
    » Abstract » doi: 10.5455/pos.20170131055031
    Cited : 1 time [Click to see citing article]