Naslov
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)

Autori
Vlaić, Josip ; Pavić, Ivan ; Tripalo Batoš, Ana ; Žmak, Ljiljana ; Krušlin, Božo

Izvornik
Joint Diseases and Related Surgery (2687-4784) 32 (2021), 2; 536-541

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
adolescent ; anti-tuberculosis drugs ; surgery ; tuberculous trochanteric bursitis.

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA