Year: 2024 | Month: January | Volume: 11 | Issue: 1 | Pages: 26-30
DOI: https://doi.org/10.52403/ijrr.20240104
Pediatric Tuberculosis Osteomyelitis on Proximal Tibia: A Case Report
Made Winatra Satya Putra1, Made Agus Maharjana1, I Ketut Siki Kawiyana1
1Department of Orthopaedic and Traumatology, Faculty of Medicine Udayana University, Prof Ngoerah General Hospital Denpasar, Bali, Indonesia
Corresponding Author: Made Winatra Satya Putra
ABSTRACT
Background: Tuberculosis of the bone is a serious problem in developing countries, extra-pulmonary tuberculosis is more common among children. The characteristics of tuberculosis osteomyelitis in children are different. Therefore, the disease is often neglected or diagnosis is delayed.
Case Report: A 18-months-old female patients presented with history of pain and mass on right leg and also unable to bear weight. On Physical examination there was palpable fluctuant mass around proximal right leg. Histology examination revealed tuberculous granuloma. Patient treated with surgical drainage and anti-tuberculous drug for 12 months resulted satisfactory outcome in 6 months treatment.
Conclusion: High suspicion for tuberculosis is required in children with musculoskeletal complaints of swelling and stiffness. Tuberculosis osteomyelitis can mimic other lesion but with prompt diagnosis and treatment the outcome was satisfactory.
Keywords: Tuberculosis; osteomyelitis; tibia
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