Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case
In this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberc...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/6369781 |
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| author | Truong Nguyen Khanh Hung Tran Binh Duong Tran Phuoc Binh Dao Thanh Tu Huynh Phuoc Hau Truong Trong Tin Cao Thi Le Van Tuan |
| author_facet | Truong Nguyen Khanh Hung Tran Binh Duong Tran Phuoc Binh Dao Thanh Tu Huynh Phuoc Hau Truong Trong Tin Cao Thi Le Van Tuan |
| author_sort | Truong Nguyen Khanh Hung |
| collection | DOAJ |
| description | In this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberculosis, and the results of the routine laboratory tests were within normal limits; he also tested negative for rheumatoid factor. Magnetic resonance (MR) imaging revealed multiple rice bodies in the right knee, measuring 5-8 mm. He underwent an arthroscopic operation in the right knee in January 2018 and received antituberculosis polytherapy for 6 months. He was followed-up for more than 01 year. The patient regained good function of the operated knee with no evidence of recurrence during the last follow-up in February 2019. Conclusion. The biggest challenge in diagnosing tuberculosis arthritis is the consideration of its possibility in the differential diagnosis, not only in endemic countries where tuberculosis is frequent. A high level of suspicion for TB should be maintained for every infection of the knee joint, particularly in the case of intra-articular rice bodies. |
| format | Article |
| id | doaj-art-63eb91a84f8846379b5d4b51dc11f2aa |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-63eb91a84f8846379b5d4b51dc11f2aa2025-02-03T01:27:03ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/63697816369781Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare CaseTruong Nguyen Khanh Hung0Tran Binh Duong1Tran Phuoc Binh2Dao Thanh Tu3Huynh Phuoc Hau4Truong Trong Tin5Cao Thi6Le Van Tuan7College of Medicine, Taipei Medical University, Taipei City, TaiwanOrthopedic and Trauma Department, ChoRay Hospital, Ho Chi Minh City, VietnamOrthopedic and Trauma Department, ChoRay Hospital, Ho Chi Minh City, VietnamOrthopedic and Trauma Department, ChoRay Hospital, Ho Chi Minh City, VietnamOrthopedic and Trauma Department, ChoRay Hospital, Ho Chi Minh City, VietnamOrthopedic and Rehabilitation Department, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamOrthopedic and Rehabilitation Department, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamOrthopedic and Trauma Department, ChoRay Hospital, Ho Chi Minh City, VietnamIn this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberculosis, and the results of the routine laboratory tests were within normal limits; he also tested negative for rheumatoid factor. Magnetic resonance (MR) imaging revealed multiple rice bodies in the right knee, measuring 5-8 mm. He underwent an arthroscopic operation in the right knee in January 2018 and received antituberculosis polytherapy for 6 months. He was followed-up for more than 01 year. The patient regained good function of the operated knee with no evidence of recurrence during the last follow-up in February 2019. Conclusion. The biggest challenge in diagnosing tuberculosis arthritis is the consideration of its possibility in the differential diagnosis, not only in endemic countries where tuberculosis is frequent. A high level of suspicion for TB should be maintained for every infection of the knee joint, particularly in the case of intra-articular rice bodies.http://dx.doi.org/10.1155/2020/6369781 |
| spellingShingle | Truong Nguyen Khanh Hung Tran Binh Duong Tran Phuoc Binh Dao Thanh Tu Huynh Phuoc Hau Truong Trong Tin Cao Thi Le Van Tuan Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case Case Reports in Orthopedics |
| title | Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case |
| title_full | Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case |
| title_fullStr | Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case |
| title_full_unstemmed | Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case |
| title_short | Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case |
| title_sort | tuberculous arthritis of the knee with rice body formation a report of a rare case |
| url | http://dx.doi.org/10.1155/2020/6369781 |
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