Pediatric Multidrug-Resistant Disseminated Tuberculosis Presenting as Small Finger Tuberculous Osteomyelitis: A Case Report

JBJS Case Connect. 2024 Feb 2;14(1). doi: 10.2106/JBJS.CC.23.00445. eCollection 2024 Jan 1.

Abstract

Case: We report a case in the United States of a 12-year-old girl with multidrug-resistant tuberculous (MDR-TB) osteomyelitis of the hand managed with surgical debridement and second-line anti-TB therapy. The disease course was complicated by dissemination and multifocal progression.

Conclusion: Despite early intervention, multidrug resistance makes TB treatment challenging and facilitated progression to disseminated disease in this case. We review the difficulties in diagnosis and treatment of pediatric MDR-TB.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Child
  • Female
  • Humans
  • Osteomyelitis* / diagnostic imaging
  • Osteomyelitis* / drug therapy
  • Tuberculosis, Multidrug-Resistant* / diagnosis
  • Tuberculosis, Multidrug-Resistant* / drug therapy
  • Tuberculosis, Osteoarticular* / diagnostic imaging
  • Tuberculosis, Osteoarticular* / drug therapy
  • United States
  • Upper Extremity

Substances

  • Antitubercular Agents