2016, Number 2
Diagnosis of the hip septic arthritis by Mycobacterium tuberculosis in an infant: case report and literature review
Arroyo-Berezowsky C, Jorba-Elguero P, Zedillo PAV
Language: Spanish
References: 7
Page: 100-104
PDF size: 292.02 Kb.
ABSTRACT
Septic hip arthritis more commonly affects children less than two years of age. Patients less than 18 months of age are in greater risk of hip septic arthritis because of the anatomical characteristics of the epiphysis and metaphysis in immature articulations. The inability to early detect a septic arthritis of the hip has disastrous consequences for the immature articulation. The objectives in the management of septic arthritis of the hip are: early detection and early treatment to preserve hip function to avoid a painful deformity. Tuberculosis is considered a mortal re emergent disease thanks to its association with HIV and AIDS. In Mexico, the incidence rate for tuberculosis reported in 2010 for patients from 0 to 4 years of age was 3.2%. Extrapulmonary forms are rare and they are more common in children and immunocompromised patients. Currently, hip tuberculosis is the third most common form of musculoskeletal tuberculosis presentation, involving approximately 15% of all musculoskeletal format. We present the case of a nine-month-old female with HIV+ parents who presents with a Mycobacterium tuberculosis septic arthritis of the hip.REFERENCES