TURGUT AKGÜL, Harzem ÖZGER, Bora Süleyman GÖKSAN, İLKER EREN

Cystic transphyseal bone tuberculosis: a report of two cases

Çalışmamızda subakut osteomiyeliti taklit eden ve geniş debridman uygulanmadan tedavi edilen iki tüberküloz osteomiyelit olgusu bildiriyoruz. Çocuklarda proksimal tibial enfeksiyonların ayırıcı tanısında tüberküloz osteomiyelit göz önünde bulundurulmalıdır. Hastalığın erken tanısı ve tedavisinde geniş debridmana ihtiyaç duyulmayabilir

Kistik transfizyel kemik tüberkülozu: İki olgu sunumu

We present two cases of tuberculosis osteomyelitis mimicking subacute osteomyelitis and was treated without extensive debridement. Tuberculous osteomyelitis should be considered in the differential diagnosis of proximal tibial infections in children and early diagnosis and treatment is possible without extensive debridement.

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1. Teo HE, Peh WC. Skeletal tuberculosis in children. Pediatr Radiol 2004;34:853-60.
2. Rasool MN, Govender S, Naidoo KS. Cystic tuberculosis of bone in children. J Bone Joint Surg Br 1994;76:113-7.
3. Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996;78:288-98.
4. Eren A, Atay EF, Omeroğlu H, Altintaş F. Solitary cystic tuber- culosis of long tubular bones in children. J Pediatr Orthop B 2003;12:72-5.
5. Martini M, Adjrad A, Boudjemaa A. Tuberculous osteomyelitis. A review of 125 cases. Int Orthop 1986;10:201-7.
6. Kahn DS, Pritzker KP. The pathophysiology of bone infec- tion. Clin Orthop Relat Res 1973;(96):12-9.
7. Rasool MN. Primary subacute haematogenous osteomyelitis in children. J Bone Joint Surg Br 2001;83:93-8.
8. Roberts JM, Drummond DS, Breed AL. Subacute hematoge- nous osteomyelitis in children: a retrospective study. J Pediatr Orthop 1982;2:249-54.
9. Ross ER, Cole WG. Treatment of subacute osteomyelitis in childhood. J Bone Joint Surg Br 1985;67:443-8.
10. Hayes JT. Cystic tuberculosis of the proximal tibial metaph- ysis with associated involvement of the epiphysis and epiphy- seal plate: a report of two cases. J Bone Joint Surg Am 1961;43:560-7.
11. Vangorder GW. Tuberculosis of the shaft of long bones. A report of six cases. J Bone Joint Surg Am 1934:16:269-83.
12. Vohra, R, Kang HS, Dogra S, Saggar RR, Sharma R. Tuberculous osteomyelitis. J Bone Joint Surg Br 1997;79:562- 6.
13. Rigaud M, Borkowsky W. Tuberculosis in children. In: Rom WN, Garay SM, Bloom BR, eds. Tuberculosis. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004. p. 609-24.
14. Chen SC, Huang SC, Wu CT. Nonspinal tuberculous osteomyelitis in children. J Formos Med Assoc 1998;97:26-31.