6533b826fe1ef96bd12846b5

RESEARCH PRODUCT

Delayed diagnosis of extrapulmonary tuberculosis in a 32-year-old man with knee pain

Federico MidiriGiuliana GuadagninoViola RicceriMassimo GaliaClaudia ColombaFrancesco Agnello

subject

medicine.medical_specialtyTuberculosisbusiness.industryExtrapulmonary tuberculosisRadiographytuberculosis diagnosisCase ReportGeneral MedicineEmergency departmentDelayed diagnosismedicine.diseasehumanities030218 nuclear medicine & medical imagingSurgeryProximal tibia03 medical and health sciences0302 clinical medicineKnee pain030220 oncology & carcinogenesisMedicineRadiologyDifferential diagnosismedicine.symptombusiness

description

A 32-year-old Bangladeshi male was admitted at our emergency department for trauma of the left knee. The radiographs showed absence of fracture, and presence of an indeterminate oval lucency in the proximal tibia. Further examinations were suggested, but the patient refused. 6 months later, the patient re-presented at our emergency department. A CT scan showed progression of musculoskeletal involvement and spread to the liver. This case underlines the importance of considering tuberculosis in the differential diagnosis of indeterminate bone lesions in immigrant patients.

10.1259/bjrcr.20150258http://europepmc.org/articles/PMC6180869