Tuberculous arthritis of the hip

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Left hip pain.

Patient Data

Age: 20 years
Gender: Male

Destructive changes of the left acetabulum and femoral head with surrounding complex effusion containing layering densities/debris which extends into the surrounding musculature. 

Case Discussion

Left hip aspiration was positive for acid-fast bacilli and necrotizing granulomatous inflammation. 

Young patient with severe manifestation of tuberculous arthritis of the left hip from an endemic area. 

Case courtesy of Dr. Stanley Cheng, MD

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