Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases

Touré Stanislas,Koné Samba,Bana Abdoulaye,Ouali Boubacar,Traoré Moriba,Ngandeu Nawé Astrid,Sévédé Daouda,Gbané Mariam,Soumaro Kanaté,Megne Estelle

doi:10.4236/ojo.2015.57026

Abstract

The authors report toward a monocentric retrospective and descriptive study on a 08 year period, 33 cases of knee osteoarticular tuberculosis (OAT) of adult, certified by bacteriologic and/or histolological evidence proof of the sample (synovial biopsy) after a knee arthrotomy. There were 07 cases of arthritis and 26 cases of osteoarthritis. The treatment of knee OAT was medical (anti-tubercular poly-chemotherapy) on one year duration. The surgery was useful in front of some clinical presentations. After a minimum of 18 months, a functional evaluation was done following the Lequesne algo-functionnal index. None had signs of local recurrence testifying the adequacy of medical treatment, even if it is long and binding. The main of our case series is to establish an epidemiological, clinical and biological profile of the knee tuberculosis of adult and to research elements of prognosis through an analysis of results.

Highlights

Tuberculosis is an infectious disease, which constitutes a veritable problem of public health inside countries on developing process, where it rages on endemic mode.Surely it predilection siege stays lungs but it can affect other extra-pulmonary signs like joins.How to cite this paper: Stanislas, T., Abdoulaye, B., Samba, K., Kanaté, S., Mariam, G., Daouda, S., Boubacar, O., Estelle, M., Moriba, T. and Astrid, N.N. (2015) Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases
The knee tuberculosis or white knee tumor is defined by the set of clinical and paraclinical manifestations linked to the presence and pullulating of Tubercle Bacillus (TB) [1] inside the knee join
Within the extra vertebral osteoarticular tuberculosis (OAT), studies only on knee damages are not many. We report by this monocentric retrospective and descriptive study, 33 cases of knee OAT on adults put on evidence by bacteriological and/or anatomopathological proofs after a knee arthrotomy

Summary

Introduction

Tuberculosis is an infectious disease, which constitutes a veritable problem of public health inside countries on developing process, where it rages on endemic mode.Surely it predilection siege stays lungs but it can affect other extra-pulmonary signs like joins.How to cite this paper: Stanislas, T., Abdoulaye, B., Samba, K., Kanaté, S., Mariam, G., Daouda, S., Boubacar, O., Estelle, M., Moriba, T. and Astrid, N.N. (2015) Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases. Tuberculosis is an infectious disease, which constitutes a veritable problem of public health inside countries on developing process, where it rages on endemic mode. It predilection siege stays lungs but it can affect other extra-pulmonary signs like joins. (2015) Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases. The knee tuberculosis or white knee tumor is defined by the set of clinical and paraclinical manifestations linked to the presence and pullulating of Tubercle Bacillus (TB) [1] inside the knee join. From high prevalence in developing countries since a decade, we are assisting at an increase of tuberculosis in developed countries, mainly on immigrants and old peoples [2] [3] The osteoarticular tuberculosis (OAT) represents 11% to 15% of extra pulmonary tuberculosis [2], and the knee damage is the second localization after the spine one [2] [3].

Results

Discussion

Conclusion