Neglected tuberculous trochanteric bursitis in an adolescent girl: A case report and literature review.

Neglected tuberculous trochanteric bursitis in an adolescent girl: A case report and literature review.
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青春期女孩中被忽视的结节骨囊炎:案例报告和文献综述。

DOI:
10.52312/jdrs.2021.17
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发表时间:
2021
影响因子:
1.6
通讯作者:
Kruslin B
Kruslin B
中科院分区:
医学4区
文献类型:
--
作者:
Vlaic J;Pavic I;Batos AT;Zmak L;Kruslin B

文献摘要

参考文献

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Tuberculous trochanteric bursitis (TTB) is an extremely rare form of extrapulmonary tuberculosis. Due to a low clinical suspicion and poor collaboration among medical professionals, the diagnosis of TTB can be often delayed. In this report, we describe a case of neglected TTB in an adolescent girl that initially presented with right thigh swelling and fluctuance. The patient underwent repeated unsuccessful surgical treatment; however, dull pain and periodic wound drainage remained for eight years. Complete excision of fistula and trochanteric bursa and one year of oral antituberculous drug therapy led to complete recovery. This case report highlights tuberculosis as a diagnostic challenge, when rare localizations are affected. In addition, this report addresses several diagnostic pitfalls and reviews the literature regarding TTB in adolescent patients. Orthopedic surgeons need to consider TTB, when swelling, fluctuance or repeated wound drainage are present on the thigh.
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