Tuberculous Arthritis of Knee Presenting as Baker’s Cyst: A Case Report

Authors

  • Md Shoriful Islam Associate Professor & Head, Department of Orthopaedics, Delta Medical College, Dhaka, Bangladesh
  • KM Reza Ul Haq Associate Professor, Department of ENT & HNS, Delta Medical College, Dhaka, Bangladesh
  • Asif Imran Siddiqui Residential physician, Department of Skin & VD, Delta Medical College, Dhaka, Bangladesh
  • Refat Tabassum Associate Professor, Department of Biochemistry, Bashundhara Ad-din Medical College, Dhaka, Bangladesh
  • Russel Ahmed Khan Lodi Assistant Professor, Department of Surgery, Delta Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/dmcj.v8i2.66627

Keywords:

Tuberculosis(TB); Baker’s Cyst(BC); Anti-Tuberculous Treatment (ATT)

Abstract

Background: Baker's cyst is usually degenerative in origin, infective etiology is rare and tubercular origin is exceptional. Tuberculosis (TB) of the musculoskeletal system is an uncommon infection caused by tuberculous bacilli and constitutes 1% - 5% of all forms of TB. About 30% of skeletal TB involves the joints, the knee being the 3rd most commonly affected after the spine and the hip. Knee tuberculosis commonly presents as synovitis or arthritis. We are presenting a case of a young female with clinico-radiological features suggestive of Baker's cyst. Complete excision of Baker's cyst and histopathology was done. Histopathological examination revealed multiple epitheloid granulomas pointing toward a tubercular etiology. Standard ATT protocol with rehabilitation was followed. The patient was asymptomatic at 1st year with complete resolution of symptoms and full range of motion. This case highlights the need to maintain high index of suspicion in cases hailing from endemic region with unusual intra-operative findings; also, the importance of routine histopathological examination.

Delta Med Col J. Jul 2020;8(2): 101-104 

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Published

2020-08-01

How to Cite

Islam, M. S. ., Haq, K. R. U., Siddiqui, A. I. ., Tabassum, R. ., & Lodi, R. A. K. . (2020). Tuberculous Arthritis of Knee Presenting as Baker’s Cyst: A Case Report. Delta Medical College Journal, 8(2), 101–104. https://doi.org/10.3329/dmcj.v8i2.66627

Issue

Vol. 8 No. 2 (2020)

Section

Case Reports

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