Clin Orthop Surg.  2016 Mar;8(1):106-109. 10.4055/cios.2016.8.1.106.

Bursectomy, Curettage, and Chemotherapy in Tuberculous Trochanteric Bursitis

• Ramos-Pascua LR
• Carro-Fernandez JA
• Santos-Sanchez JA
• Casas Ramos P
• Diez-Romero LJ
• Izquierdo-Garcia FM

• KMID: 2363953
• DOI: http://doi.org/10.4055/cios.2016.8.1.106

Abstract

We presented three patients with trochanteric tuberculosis and described the clinical and imaging findings of the infection. Histology revealed a necrotizing granulomatous bursitis and microbiology confirmed tuberculosis. All cases were successfully treated with bursectomy and curettage of the trochanteric lesion and antituberculous chemotherapy including isoniazid, pyrazinamide, rifampicin, and ethambutol.

Keyword

Tuberculosis; Bursitis; Trochanter

MeSH Terms

Aged, 80 and over
Antitubercular Agents/*therapeutic use
*Bursitis/diagnostic imaging/pathology/therapy
*Curettage
Female
*Femur/diagnostic imaging/pathology/surgery
Humans
Middle Aged
*Tuberculosis, Osteoarticular/diagnostic imaging/pathology/therapy
Antitubercular Agents

Figure

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  Fig. 1 Case 1 (A) and case 2 (B) showing a lytic lesion in the greater trochanter.

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  Fig. 2 Conventional radiograph (A) and T2-weighted magnetic resonance imaging scan (B) in case 3. (C) Radiograph taken 3 years after surgery.

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  Fig. 3 Necrotic areas with granulomatous inflammatory reaction at the periphery (H&E, × 10). Granuloma with Langhans cell and epithelioid cells (inset; H&E, × 100).

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