Bir Çocuk Olguda Ayak Bileğinde Artritin Nadir Görülen Bir Nedeni: Tüberküloz

Tüberkülozun osteoartiküler tutulumu sıklıkla spinal kanal tutulumu ile seyreder. Ekstraspinal periferal eklem tutulumu nadir görülmektedir. Genellikle kalça ve diz tutulur ve tutulum genellikle monoartikülerdir. Osteoartiküler tutulumun tanısı zordur, çünkü pek çok kemik eklem patolojisini taklit edebilir. Bu nedenle sıklıkla hastalar yanlış tanı almakta ve hastalık ileri evrelerde tanı alarak tedavi edilmektedir. Bu yazıda ayak bileğinde dört aydır devam eden artrit yakınmaları ile başvurup, tüberküloz artrit ve osteomiyeliti tanısı alan, altı buçuk yaşında bir erkek olguyu, tüberkülozun monoartritin oldukça nadir bir etkeni olması sebebiyle sunuldu. Çocuklarda monoartritin ayırıcı tanısında tüberkülozun akılda tutulmasının önemine dikkat çekmek istendi.

Anahtar Kelimeler:

Artrit, Ayak bileği, Mycobacterium tuberculosis, Talus

A Rare Cause of Ankle Arthritis in a Child: Tuberculosis

Osteoarticular tuberculosis is often characterized by involvement of the spinal canal. Extraspinal peripheral joint involvement is rare. The most commonly affected peripheral joints are the hips and the knee and the involvement is usually monoarticular. Diagnosis of osteoarticular tuberculosis is diffi cult because it can mimic many other bone joint pathologies. Patients are therefore often misdiagnosed with another disease and tuberculosis is diagnosed in an advanced stage. In this article we present a 6.5-year-old male with ankle arthritis symptoms for 4 months. The patient was diagnosed with tuberculous arthritis and osteomyelitis. Tuberculosis is an uncommon cause of monoarthritis. We wanted to emphasize that the differential diagnosis of monoarthritis in children should include tuberculosis

Keywords:

Arthritis, Ankle, Mycobacterium tuberculosis, Talus,

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