Tuberculous Arthritis of Bilateral Hip Joints.
10.2185/jjrm.51.52
- VernacularTitle:両股関節結核の１症例
- Author:
Ju MIZUNO
;
Akiko WAKUTA
;
Hiroshi MATSUOKA
;
Masayuki OKAHARA
;
Michiko MATSUKI
;
Tsubasa MORITA
;
Naoko AGA
;
Yoshinori GOUDA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2002;51(1):52-58
- CountryJapan
- Language:Japanese
-
Abstract:
An 87-year-old woman with unknown fever origin was admitted to our internal department. We could not determine the fever origin from clinical findings, serious blood data, urine data, bacteriological data, and images obtained by ultrasonography, computed tomography and magnetic resonance. Body inflammatory findings did not respond to several antibiotics we used. Gallium scintiphotography revealed abnormal radioisotope uptake in the bilateral inguinal region. And ultrasonography and enhanced computed tomography showed tumors in front of the bilateral femur neck. Moreover, bone scintiphotography (99mTc) revealed abnormal radioisotope uptake in the bilateral hip joints. We performed resection of the right inguinal tumor. The tumor was solid mass 30×20×20mm in size. It was covered with an articular capsule in front of the right femur neck. We identified the mass as bilateral tuberculous granulation with Langhans-type giant cells pathologically. It was only with difficulty that we firmly diagnosed the case as tuberculous arthritis of bilateral hip joints because the fever origin was unknown. It is important to diagnose tuberculous arthritis by use of various imaging techniques. We should take tuberculous infection into consideration when we encounter a case of arthritis of unknown fever origin or a case of antibiotics resistant arthritis.
