Trochanteric Bursitis Due to Tuberculosis in an Immunocompetent Young Woman

Tuberculosis of the Trochanteric Bursa: A Case Report

“…Tuberculous tenosynovitis most commonly involves tendons of the hand and wrist, whereas tuberculosis bursitis occurs most commonly around the hip. [1][2][3][4][5][6][7][8][9][10] Tuberculous trochanteric bursitis is rare. [2][3][4] Out of 147 patients with tuberculosis of the bursal sheath, 29 were in the trochanteric bursa, 21 in the bursa anserius, 18 in the compound plantaris bursa, 14 in the radial long flexor sheath, 10 in the ulnar long flexor sheath, 14 in the deltoid bursa, 8 in the ankle flexor tendon, 4 in the peroneal tendon, one in the wrist extensor tendon, 2 in the ankle extensor tendons, and 26 in All imaging modalities can help make the diagnosis, [5][6][7] even when repeated cultures are negative.…”

Case Report: Tuberculous trochanteric bursitis, a rare cause of hip pain in an immunocompetent patient: A case report

“…4 . Of these, arthritis and spondylitis are the most frequent, whereas bursitis and tenosynovitis are exceptional 4 . Primary tuberculous pyomyositis, bursitis and tenosynovitis are rare and account for about 1% of musculoskeletal tuberculosis 3 .…”

“…Infectious bursitis can occur through hematogenous route or by spread from an adjacent infectious site. The predominant organisms are Gram-negative organisms, anaerobes and in rare cases, mycobacteria (particularly M. tuberculosis) 4 . The source of infection of tuberculous bursitis in our patient remains unclear, as there was no evidence of hematogenous dissemination or local involvement due to proximity.…”

“…Tuberculosis is known to recur in immunocompromised individuals like elderly, corticosteroid-dependent and HIV-infected patients. There is a high recurrence rate described in some series of patients of tubercular trochanteric bursitis treated only with antitubercular drugs 4 . Studies have reported reactivation of trochanteric tuberculosis after previous surgical drainage in the pre-chemotherapy era 8, 12 .…”

“…Symptoms are usually mild and occur insidiously, which delays diagnosis and treatment. Tubercular lesions usually occur in immunocompromised patients 4, 6 and rarely in an immunocompetent individual 4 . We present a case of an immunocompetent woman presenting with chronic left hip pain due to tuberculous trochanteric bursitis.…”