{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:01Z","timestamp":1756276801099,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Osteoarticular involvement is one manifestation of extrapulmonary tuberculosis (TB). We present a 5-year-old Burmese boy with 10\u2005months of right hip pain and decreased range of motion. The patient also had low-grade fever, cough and decreased appetite. The patient was undocumented and had recently moved from Myanmar. He was thin, in moderate distress with bilateral lung rhonchi, mild subcostal retractions, low back pain, right hip tenderness and painful and limited right range of motion. The patient's chest and pelvis radiographs showed a miliary pattern and right acetabulum osteolytic lesions, respectively. He was started on anti-TB medication and cefotaxime. Ofloxacin was added because of the concern of drug-resistant TB. The patient underwent a right hip debridement. His symptoms improved markedly, with improved mobility. TB is a challenging infection to diagnose, which can cause significant delays in management.<\/jats:p>","DOI":"10.1136\/bcr-2014-204217","type":"journal-article","created":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T07:18:24Z","timestamp":1401261504000},"page":"bcr2014204217","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["A 5-year-old boy with miliary and osteoarticular tuberculosis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Charles Henry","family":"Washington","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peninnah","family":"Oberdorfer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,28]]},"reference":[{"key":"2025082623071593000_2014.may28_1.bcr2014204217.1","first-page":"516","article-title":"Ten-year experience of children with tuberculosis in southern Taiwan","volume":"42","author":"Huang","year":"2009","journal-title":"J Microbiol Immunol Infect"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.2","first-page":"41","article-title":"Clinical characteristics of tuberculosis in children in the north of Taiwan","volume":"38","author":"Lin","year":"2005","journal-title":"J Microbiol Immunol Infect"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-8-94"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.4","first-page":"693","article-title":"Extrapulmonary tuberculosis in children: a study of 41 cases","volume":"87","author":"Tinsa","year":"2009","journal-title":"Tunis Med"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3742"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.6","first-page":"239","article-title":"Extra pulmonary tuberculosis in children: two years study","volume":"48","author":"Baghaie","year":"2010","journal-title":"Acta Med Iran"},{"key":"2025082623071593000_2014.may28_1.bcr2014204217.7","unstructured":"Kerdpanich P Oberdorfer P Chokpiboonkit K . 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