دورية أكاديمية
أعرض في EDS

Case Report: Tuberculous abscess of the popliteal fossa: A case report.

التفاصيل البيبلوغرافية
العنوان: Case Report: Tuberculous abscess of the popliteal fossa: A case report.
المؤلفون: Belhassen H; Orthopedic department, La Rabta Hospital, Tunis, 1007, Tunisia., Khlif MA; Orthopedic department, La Rabta Hospital, Tunis, 1007, Tunisia., Ferjani MA; Orthopedic department, La Rabta Hospital, Tunis, 1007, Tunisia., Abcha Y; Orthopedic department, La Rabta Hospital, Tunis, 1007, Tunisia., Barsaoui M; Orthopedic department, La Rabta Hospital, Tunis, 1007, Tunisia.
المصدر: F1000Research [F1000Res] 2023 Sep 25; Vol. 12, pp. 1194. Date of Electronic Publication: 2023 Sep 25 (Print Publication: 2023).
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: F1000 Research Ltd Country of Publication: England NLM ID: 101594320 Publication Model: eCollection Cited Medium: Internet ISSN: 2046-1402 (Electronic) Linking ISSN: 20461402 NLM ISO Abbreviation: F1000Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : F1000 Research Ltd
مواضيع طبية MeSH: Abscess*/microbiology , Abscess*/diagnosis , Abscess*/pathology, Humans ; Male ; Adolescent ; Tuberculosis/diagnosis ; Tuberculosis/microbiology ; Tuberculosis/drug therapy ; Tuberculosis/diagnostic imaging ; Magnetic Resonance Imaging ; Antitubercular Agents/therapeutic use
مستخلص: Introduction Tuberculosis of the soft tissues is a rare form of extra pulmonary tuberculosis, and isolated localization in the popliteal fossa is particularly exceptional. Atypical clinical presentation can lead to delayed diagnosis and serious complications. Case report We report the case of a 17-year-old patient who was diagnosed with tuberculosis of the popliteal fossa. He presented with a painful inflammatory swelling of the right popliteal fossa associated with a homolateral inguinal lymph node, without knee joint effusion. Standard chest and knee X-rays were normal, while MRI showed an 8 cm well vascularized, partly liquefied mass in the popliteal fossa, developed in contact with the semimembranosus and medial gastrocnemius muscles, associated with a popliteal lymph node without synovial effusion or thickening. Microbiological tests did not isolate any germs. The diagnosis was made on histological examination after biopsy, which revealed a caseous granuloma surrounded by epithelioid cells. The patient was treated with anti-tuberculosis therapy for 9 months. The clinical and radiological regression of the swelling was observed without recurrence at 2 years of follow-up. Conclusion Any soft tissue abscess should raise suspicion of tuberculosis, especially in endemic countries. The importance of histopathological examination should be emphasized to establish the diagnosis in the absence of signs in favor of a primary localization.
Competing Interests: No competing interests were disclosed.
(Copyright: © 2023 Belhassen H et al.)
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فهرسة مساهمة: Keywords: Tuberculosis; abscess; diagnosis; knee; therapeutic
المشرفين على المادة: 0 (Antitubercular Agents)
تواريخ الأحداث: Date Created: 20240510 Date Completed: 20240510 Latest Revision: 20240511
رمز التحديث: 20240511
مُعرف محوري في PubMed: PMC11079585
DOI: 10.12688/f1000research.138152.1
PMID: 38726302
قاعدة البيانات: MEDLINE
الوصف
تدمد:2046-1402
DOI:10.12688/f1000research.138152.1