Neglected tuberculous trochanteric bursitis in an adolescent girl: A case report and literature review

Scientific paper - Review paper

• Author: Josip Vlaić
• Author: Ivan Pavić
• Author: Ana Tripalo Batoš
• Author: Ljiljana Žmak
• Author: Božo Krušlin
• Author's institution: University of Zagreb; School of Medicine; (Department of Pathology)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Pathology

Abstract (english)

Tuberculous trochanteric bursitis (TTB) is an extremely rare form of extrapulmonary tuberculosis. Due to a low clinical suspicion and poor collaboration among medical professionals, the diagnosis of TTB can be often delayed. In this report, we describe a case of neglected TTB in an adolescent girl that initially presented with right thigh swelling and fluctuance. The patient underwent repeated unsuccessful surgical treatment; however, dull pain and periodic wound drainage remained for eight years. Complete excision of fistula and trochanteric bursa and one year of oral antituberculous drug therapy led to complete recovery. This case report highlights tuberculosis as a diagnostic challenge, when rare localizations are affected. In addition, this report addresses several diagnostic pitfalls and reviews the literature regarding TTB in adolescent patients. Orthopedic surgeons need to consider TTB, when swelling, fluctuance or repeated wound drainage are present on the thigh.

• Keywords (english): Administration, Oral; Adolescent; Antitubercular Agents / therapeutic use*; Bursa, Synovial / surgery; Bursitis / drug therapy; Bursitis / microbiology; Bursitis / surgery*; Croatia; Female; Femur / surgery*; Fistula / surgery*; Hip Joint / surgery*; Humans; Tuberculosis, Osteoarticular / diagnosis*; Tuberculosis, Osteoarticular / drug therapy; Tuberculosis, Osteoarticular / microbiology; Tuberculosis, Osteoarticular / surgery
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Joint Diseases and Related Surgery
• Numbering: vol. 32, no. 2, pp. 536-541
• p-ISSN: 2687-4784
• e-ISSN: 2687-4792
• DOI: https://doi.org/10.52312/jdrs.2021.17
• URN:NBN: urn:nbn:hr:105:179993
• Publication: 2021
• Document URL: https://jointdrs.org/doi/10.52312/jdrs.2021.17
• Type of resource: Text
• Access conditions: Open access
• Created on: 2021-11-04 09:55:31