CASE REPORT


Tuberculous Coxitis: Diagnostic Problems and Varieties of Treatment: A Case Report§



H Klein*, 1 , JB Seeger1, I Schleicher2
1 Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, D-35392 Giessen, Germany
2 Department of Trauma Surgery, University of Giessen and Marburg, Klinikstraße 33, 35385 Giessen, Germany


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 2590
Abstract HTML Views: 1170
PDF Downloads: 317
Total Views/Downloads: 4077
Unique Statistics:

Full-Text HTML Views: 1016
Abstract HTML Views: 683
PDF Downloads: 203
Total Views/Downloads: 1902



Creative Commons License
© Klein et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, D-35392 Giessen, Germany; Tel: +49-641-985-56094; Fax: +49-641-985-42999; E-mail: heiko.klein@ortho.med.uni-giessen.de


Abstract

Although the prevalence of tuberculosis reduces, it still belongs to the most important infectious diseases worldwide even in industrial countries.

We report an unusual case of tuberculous coxitis in a 28-year-old healthy native female with recurrent hip pain. While X-ray and microbiological examination of the aspirate showed no abnormality, only extended diagnostic measurements and detailed history led to the diagnosis of TBC. Although the patient did not show any pulmonary symptoms open tuberculosis was confirmed. After a course of antibiotic treatment she underwent reconstructive surgery which consecutively improved range of motion. This case report emphasizes that tuberculosis should still be considered as a significant disease even in healthy patients with uncertain complaints in joints without significant initial radiographic abnormalities. We recommend the described diagnostic procedures as well as an antibiotic and surgical treatment.

Keywords: Tuberculous coxitis, TBC, tuberculosis.