Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Multifocal skeletal tuberculosis in an immunocompetent patient: a case report

2015; BioMed Central; Volume: 15; Issue: 1 Linguagem: Inglês

10.1186/s12879-015-0985-x

1471-2334

Paulo Sérgio Ramos de Araújo, Heloísa Ramos Lacerda de Melo, Fábio Lopes de Melo, Zulma Medeiros, Maria Amélia Vieira Maciel, Renata Florêncio, Eduardo Brandão,

Hematological disorders and diagnostics

The occurrence of multifocal skeletal involvement in immunocompetent patients is rare, even in countries where tuberculosis is endemic. Multifocal skeletal lesions may occur as a result of hematogenous dissemination from another primary focus such as cervical lymph nodes, lungs, tonsils or gastrointestinal tract. We present a 59 year-old man with a history of intermittent and disabling pain in his left knee for 2 years. The patient in this case presented with lung infection with bilateral skeletal dissemination in the knees and femurs. Immunological examination for the HIV was negative. Diagnosis of this condition is not always easy because of the disease’s insidious character, and it can be confused with other diseases such as osteoarthritis, especially in middle-aged individuals.