Article Text
Summary
We present a case of a 31-year-old man of Indian origin with no previous medical history who presented with an inflamed knee. Treatment for bacterial infection was unsuccessful, and needle aspiration of the left knee effusion/collection was smear and culture positive for tuberculosis (TB), despite Xpert MTB/RIF being falsely negative. The patient was commenced on quadruple therapy for TB and within 2 months had improved significantly with no clinical evidence of ongoing inflammation.
- infections
- musculoskeletal and joint disorders
- infectious diseases
- bone and joint infections
- tb and other respiratory infections
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Footnotes
Contributors RD: lead author, case notes review and literature review. CH: case management including initial investigation, rheumatology input and review of final manuscript. CC: case management, infectious diseases input and review of final manuscript. JS: CT and USS image review, radiology input and review of final manuscript. PA: case management, infectious diseases input, literature review, overall supervision and liason between authors.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.