Tuberculosis of the greater trochanter. Report of four cases.
Details
Serval ID
serval:BIB_F4EEA38E944F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Tuberculosis of the greater trochanter. Report of four cases.
Journal
Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
ISSN
1011-7571 (Print)
ISSN-L
1011-7571
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
15
Number
5
Pages
382-386
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
OBJECTIVE: To present four cases of tuberculosis of the greater trochanter.
CASE PRESENTATION AND INTERVENTION: The four cases (3 females and 1 male), aged 45-70 years, presented with mechanical pain in the trochanteric area associated with progressive swelling in the 3 female patients in whom mobility was also restricted. X-ray revealed a mass in 2 females; CT scan and MRI exhibited an abscess in the 3 females. Histological and bacteriological examinations showed Mycobacterium bovis in the 3 females and M. tuberculosis in the male. In the females, tritherapy and surgery were performed, while in the male quadritherapy and surgery. All the patients recovered and were followed up for 4-9 years.
CONCLUSION: These cases show that both chemotherapy and surgery must be synergic if tuberculosis is diagnosed and an abscess is confirmed by imaging.
CASE PRESENTATION AND INTERVENTION: The four cases (3 females and 1 male), aged 45-70 years, presented with mechanical pain in the trochanteric area associated with progressive swelling in the 3 female patients in whom mobility was also restricted. X-ray revealed a mass in 2 females; CT scan and MRI exhibited an abscess in the 3 females. Histological and bacteriological examinations showed Mycobacterium bovis in the 3 females and M. tuberculosis in the male. In the females, tritherapy and surgery were performed, while in the male quadritherapy and surgery. All the patients recovered and were followed up for 4-9 years.
CONCLUSION: These cases show that both chemotherapy and surgery must be synergic if tuberculosis is diagnosed and an abscess is confirmed by imaging.
Keywords
Aged, Combined Modality Therapy, Diagnosis, Differential, Female, Femur, Humans, Male, Middle Aged, Mycobacterium bovis/isolation & purification, Mycobacterium tuberculosis/isolation & purification, Tuberculosis, Osteoarticular/diagnosis, Tuberculosis, Osteoarticular/microbiology
Pubmed
Web of science
Open Access
Yes
Create date
11/04/2008 13:01
Last modification date
20/08/2019 17:21
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