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Suppurative arthritis is typically caused by a bacterial infection in the joint. Diagnosis is made by analysis of synovial fluid including microscopic examination and culture. Suppurative arthritis is also referred to as pyarthrosis, and bacterial or septic arthritis. Tuberculous septic arthritis should be considered in patients who present with acute or chronic monoarthritis, and who have an abnormal chest radiograph or eosinophilia or a previous history of TB.
Pulmonary tuberculosis accounts for around 52% of tubercular infection but musculoskeletal involvement is seen in up to 19% of cases.1 It is more common in children than in adults, probably owing to the greater amount of bone marrow present in immature bone. In adults, TB shows a preponderence to the spine (40%), followed by the hip (25%), and then the knee (8%).While extrapulmonary manifestations of TB are common, accounting for around 15–20% of cases in immunocompetent patients, the first presentation of the disease as a joint infection is rare[1].
Reference: 1. Carrol ED, Clarke JE, Cant AJ. Non-pulmonary tuberculosis. Paediatr Respir Rev. 2001;2:113–9.
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