Bursitis Tuberculosa: Caso clínico

We report a previously healthy 51 years old woman with a one year history of pain in the left hip associated with a mass without fever or local inflammatory changes. Magnetic resonance imaging located the mass in the medial gluteal muscle. The pathological examination of the mass disclosed unspecifi...

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Autores principales: Pérez C,Carlos, Rojas G,Alvaro, Baudrand B,René, González B,Sergio, Fontboté R,Cristián
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2002
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000300012
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spelling oai:scielo:S0034-988720020003000122002-07-24Bursitis Tuberculosa: Caso clínicoPérez C,CarlosRojas G,AlvaroBaudrand B,RenéGonzález B,SergioFontboté R,Cristián Busitis Hip joint Tuberculosis osteoarticular We report a previously healthy 51 years old woman with a one year history of pain in the left hip associated with a mass without fever or local inflammatory changes. Magnetic resonance imaging located the mass in the medial gluteal muscle. The pathological examination of the mass disclosed unspecific inflammatory changes. Due to worsening of pain, a left throchanteric bursitis was diagnosed two weeks later and a throchanteric bursectomy was performed, obtaining a second biopsy. Aerobic, anaerobic and fungal cultures were negative. Lowenstein-Jensen culture showed development of mycobacteria and a genetic probe confirmed the presence of Mycobacterium tuberculosis. The second biopsy also identified several granulomas with areas of caseation and the Ziehl-Nielsen stain was positive for acid fast bacilli. Osteoarticular tuberculosis, specially bursitis, shoulds be suspected in the presence of chronic pain associated with swelling (Rev Méd Chile 2002; 130: 319-21)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.3 20022002-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000300012es10.4067/S0034-98872002000300012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Busitis
Hip joint
Tuberculosis
osteoarticular
spellingShingle Busitis
Hip joint
Tuberculosis
osteoarticular
Pérez C,Carlos
Rojas G,Alvaro
Baudrand B,René
González B,Sergio
Fontboté R,Cristián
Bursitis Tuberculosa: Caso clínico
description We report a previously healthy 51 years old woman with a one year history of pain in the left hip associated with a mass without fever or local inflammatory changes. Magnetic resonance imaging located the mass in the medial gluteal muscle. The pathological examination of the mass disclosed unspecific inflammatory changes. Due to worsening of pain, a left throchanteric bursitis was diagnosed two weeks later and a throchanteric bursectomy was performed, obtaining a second biopsy. Aerobic, anaerobic and fungal cultures were negative. Lowenstein-Jensen culture showed development of mycobacteria and a genetic probe confirmed the presence of Mycobacterium tuberculosis. The second biopsy also identified several granulomas with areas of caseation and the Ziehl-Nielsen stain was positive for acid fast bacilli. Osteoarticular tuberculosis, specially bursitis, shoulds be suspected in the presence of chronic pain associated with swelling (Rev Méd Chile 2002; 130: 319-21)
author Pérez C,Carlos
Rojas G,Alvaro
Baudrand B,René
González B,Sergio
Fontboté R,Cristián
author_facet Pérez C,Carlos
Rojas G,Alvaro
Baudrand B,René
González B,Sergio
Fontboté R,Cristián
author_sort Pérez C,Carlos
title Bursitis Tuberculosa: Caso clínico
title_short Bursitis Tuberculosa: Caso clínico
title_full Bursitis Tuberculosa: Caso clínico
title_fullStr Bursitis Tuberculosa: Caso clínico
title_full_unstemmed Bursitis Tuberculosa: Caso clínico
title_sort bursitis tuberculosa: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2002
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000300012
work_keys_str_mv AT perezccarlos bursitistuberculosacasoclinico
AT rojasgalvaro bursitistuberculosacasoclinico
AT baudrandbrene bursitistuberculosacasoclinico
AT gonzalezbsergio bursitistuberculosacasoclinico
AT fontbotercristian bursitistuberculosacasoclinico
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