{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:30:58Z","timestamp":1788201058706,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We present a case of a 2-year-old child with persistent synovitis of the right ankle joint accompanied by a subfebrile temperature. The child had received Bacillus Calmette-Gu\u00e9rin vaccination and had minimal laboratory abnormalities. Thorough imaging studies revealed a well-defined osteolytic lesion of the distal tibial metaphysis with partial physeal and epiphyseal involvement. Targeted biopsy with polymerase chain reaction and histopathological examination demonstrated caseating granulomatous inflammation with Langhans-type giant cells and confirmed Mycobacterium tuberculosis without Rifampicin resistance. Surgical curettage was performed with preservation of the physeal circumference, followed by weight-adjusted four-drug anti-tuberculous therapy for 2 months and prolonged dual therapy, with a total treatment duration of 9\u00a0months. At 18-month follow-up, the child was asymptomatic, with full range of motion and preserved longitudinal tibial growth. Early diagnosis, targeted biopsy, appropriate surgical management, and prolonged chemotherapy are critical for optimal outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjag666","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:47:07Z","timestamp":1784202427000},"source":"Crossref","is-referenced-by-count":0,"title":["Distal tibial tuberculous osteitis in a child: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0045-1109","authenticated-orcid":false,"given":"Nia","family":"Gecheva","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]},{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. Boychev\u201d , 56 Nikola Petkov Blvd, Sofia 1614 ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7627-7386","authenticated-orcid":false,"given":"Stefan","family":"Tserovski","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]},{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. Boychev\u201d , 56 Nikola Petkov Blvd, Sofia 1614 ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5200-8192","authenticated-orcid":false,"given":"Alexander","family":"Gerchev","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]},{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. Boychev\u201d , 56 Nikola Petkov Blvd, Sofia 1614 ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3808-7976","authenticated-orcid":false,"given":"Milka","family":"Dikova","sequence":"additional","affiliation":[{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. Boychev\u201d , 56 Nikola Petkov Blvd, Sofia 1614 ,","place":["Bulgaria"]},{"name":"Department of Pediatrics, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Georgiev","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]},{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. Boychev\u201d , 56 Nikola Petkov Blvd, Sofia 1614 ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9828-1610","authenticated-orcid":false,"given":"Hristo","family":"Georgiev","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Sofia , Sv. Georgi Sofiyski Blvd 1, Sofia 1431 ,","place":["Bulgaria"]},{"name":"Clinics of Pediatric Orthopedics, University Hospital of Orthopedics \u201cProf. B. 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