CASE 869: KNEE SOFT TISSUE TB, Dr PHAN THANH HAI, Dr MA NGUYEN MINH TUNG, Dr VO HIEU THANH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 53 year-old woman with right knee pain for 8 weeks limited movement and failed in anti-inflamed treatment. She went through lymph node TB in her childhood.

Liver and kidney functions were normal, normal CRP,  only positive QuantiFERON- TB.

Ultrasound noted swollen soft tissue of the right knee, blurred contour,  poor vascularised. Bone were intact.

X-rays of the chest and the right knee were still nothing.

But MRI detected the lesions of the soft tissue of the right knee.

Core biopsy result was a TB soft tissue of the right knee.

The anti-TB treatment was done,  the right knee pain released after ten weeks, and no limitation of the right knee movement.

MRI post anti-TB treatment showed the successful management as the  exact diagnostic and attack treatment.

Knee pain due to infected TB which is unusual should be think about when failed in traditional treatment.