Tuberculosis extrapulmonar: Forma articular

a review of the topic on extrapulmonary articular tuberculosis was made for having found a male patient with this pathology of pure presentation with no other systemic manifestations. this is the first patient diagnosed at the community comprehensive hospital of san andrés, municipality of caracollo, cervado province, department of oruro, bolivia. on reviewing the topic it was proven the infrequency of this form of presentation in spite of the fact that extrapulmonary tuberculosis is common in the region due to the existence of the following factors: cold, height with little tenor of oxygen, malnutrition, dust storms, many mining workers, etc. the patient was presented and his satisfactory evolution as regards the base pathology was showed. it was concluded that tuberculosis in its articular form is rare in appearance and that its diagnosis is difficult due to the absence of echographic or radiographic patterns defined. the anatomopathological diagnosis is the only one that can determine the aetiology of the tuberculosis of a proliferative injury of the synovia. as synovectomy is a generally disabling intervention, an early diagnosis and an adequate medical treatment on time will prevent functional future limitations. it is recommended to perform a diagnostic echography in every carrier of knee synovitis of long evolution, and to conduct specific studies for the detection of tuberculosis in those patients among whom complex images of regular snowflake-like edges are observed.