ISOLATED SYNOVIAL TUBERCULOSIS OF THE KNEE JOINT


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Abstract

We present a clinical observation of a patient with tuberculosis of the synovium without X-ray signs of tuberculosis of the lungs and bone tissue which confirms possibility of an isolated tuberculosis synovitis. The case demonstrates the necessity of synovial fluid assessment for early diagnostics of tuberculous inflammation in the joint. Diagnostic arthroscopy and synovial biopsy reveal specific changes. Early diagnostics of isolated tuberculosis synovitis can contribute to the timely treatment and prevent the adjacent bones involvement.

About the authors

Vladimir A. Khomenko

Central Scientific Research Institute for Tuberculosis

Email: khomenkov@mail.ru
doctor of medical sciences, leading researcher “Central scientific research institute for tuberculosis”, 107564, Moscow, Russian Federation 107564, Moscow, Russian Federation

L. A Semenova

Central Scientific Research Institute for Tuberculosis

107564, Moscow, Russian Federation

A. B Shekhter

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

V. V Lyalina

N.I. Pirogov Russian National Research Medical University

117997, Moscow, Russian Federation

P. P Savitsky

V.M. Buyanov Teaching Hospital of Moscow

115516, Moscow, Russian Federation

References

  1. Корнев П.Г. Хирургия костно-суставного туберкулеза. М.: Медицина; 1971; 146-74.
  2. Левашев Ю.Н., Гарбуз А.Е., ред. Костно-суставной туберкулез. М.: Медицина; 2003.
  3. Левашев Ю.Н., Репин Ю.М., ред. Руководство по легочному и внелегочному туберкулезу. С-Пб.: ЭЛБИ-СПб; 2006; 246-73.
  4. Tseng Ch., Huang R., Chen K-T. Tuberculous arthritis: epidemiology, diagnosis, treatment. Clin. Research on foot and ankle. 2014; 2: 131-7.
  5. Протопопов М.С., Ахмеров Р.З., Абдракипов Е.В., Сухорукова Е.В., Афанасьева М.А. Ревматоид Понсе: диагноз или миф? Два клинических случая и обзор литературы. Практическая медицина. 2013; 1-2 (69): 80-7.
  6. Fenger C. Tuberculosis of bones and joints. Journal of American Medical Association. 1889; October, 26.
  7. Блохин Н.А., Званцева В.А., Мухина М.П., Сыромятникова Н.В. Некоторые физико-химические, биохимические и цитологические изменения в синовиальной жидкости больных туберкулёзными синовитами. Проблемы туберкулёза. 1964: 64-8.
  8. Коваленко К.Н. Туберкулёзный синовит коленного сустава в эксперименте. Проблемы туберкулёза. 1968; 5(6): 68-73.
  9. Званцева В.А. Хронические синовиты коленных суставов в клинике костно-суставного туберкулеза. Проблемы туберкулеза. 1977;4: 49-53.
  10. Ropes M.W, Bauer W. Synovial Fluid Changes in Joint Disease. Cambridge, Mass: Harvard University Press; 1953: 150.
  11. Беллендир Э.Н. О патогенезе, диагностике и лечении «первичного» туберкулёзного синовита. Проблемы туберкулёза. 1987; 5: 54-8.
  12. Al-Sayyad M., Abumunaser L. Tuberculous arthritis revisited as a forgotten cause of monoarticular arthritis. Ann. Saudi. Med. 2011; 31(4): 398-401.
  13. Chavan S., Sable S., Tekade S., Punia P. Tuberculous tenosynovitis presenting as ganglion of wrist. Case Rep. Surg. 2012; 2012: Article ID 143921. Available at: http://dx.doi.org/10.1155/2012/143921
  14. Genc B., Solak A., Mayda A., Şen N. Isolated tuberculous tenosynovitis of the anterior tibial and extensor digitorum longus tendons. J. Clin. Imaging Sci. 2017; 3: 37-41.
  15. Ling M., Bux S. Tuberculous synovitis of the knee with unusually thick synovial granulation tissue: a case report. The Internet Journal of Orthopedic Surgery. 2006; 6(2). Available at: http://ispub.com/IJOS/6/2/12162
  16. Mohaparta D., Sarangi G., Paty B., Das P., Mohapatra A., Chayani N. et al. Tuberculous synovitis of the knee joint. Indian Medical Gazette. 2011; 11:457-9.
  17. Sood A., Sharma A., Chouhan D., Gupta K., Parghane R., Shukla J. et al. Failed radiation synovectomy in diseased knee joint with missed tuberculous synovitis. World J. Nucl. Med. 2016; 15(3): 206-8.
  18. Adhi F., Hasan R., Adhi M., Hamid S.A., Iqbal N., Khan J.A. Poncet’s disease: two case reports. J. Med. Case Reports. 2017; 6; 11(1): 93-7.
  19. Лялина В.В., Шехтер А.Б. Артроскопия и морфология синовитов. M.: Наука; 2007: 75-8.
  20. Fernandes S., Vieira-Sousa E., Furtado C., Costa A., Barros R., Fonseca J.E. A diagnosis of disseminated tuberculosis based on knee arthroscopic guided synovial biopsy in the context of monoarthritis. Acta Rheumatol. Port. 2016; 41: 256-9.
  21. Shen H., Xia Y., Li P., Wang J., Han H. Arthroscopic operations in knee joint with early-stage tuberculosis. Arch. Orthop. Trauma Surg. 2010; 130(3): 357-61.
  22. Titov A., Nakonechniy G., Santavirta S., Serdobintzev M.S., Mazurenko S.I., Konttinen Y.T. Arthroscopic operations in joint tuberculosis. Knee. 2004; 11: 57-62.

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