A radiograph of the • Treatment for joint TB should be started promptly for patient’s right knee showed bony destruction of the knee joint preservation of joint function and prevention of irreversible and an irregular lucency of the medial tibial plateau (Figure 1). [...] At follow-up after the 9-month We suspected tuberculosis (TB) based on 3 factors, namely the course of treatment, the patient had considerable improvement chronic nature of the monoarthritis, the pulmonary apical scarring of his knee pain (pain only with extended use), periarticular and on chest imaging and that the patient had emigrated from the lower leg swelling and range of motion (full flexio. [...] Key irregular lucency of the medial tibial plateau (yellow arrow) and joint features of TB include the presence of risk factors, the long dura- space narrowing (white arrow). [...] Delays in the diagnosis and treatment bacilli has a low sensitivity of about 30% and cultures take of bone and joint tuberculosis in the United Kingdom. [...] (Gunton) and Division of Infectious Diseases (Losie, Connors), Despite the presence of joint destruction, TB arthritis typically University of British Columbia, Vancouver, BC responds well to medical therapy and is usually treated for Contributors: All of the authors contributed to the conception and 6–12 months.
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