{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T02:57:03Z","timestamp":1773111423498,"version":"3.50.1"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Tuberculosis (TB) is one of the most prevalent infectious diseases globally, often presenting with nonspecific symptoms that can obscure diagnosis, especially when it manifests in uncommon sites such as osteoarticular tuberculosis (OA-TB). <\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation:<\/jats:title><jats:p> We report a rare case of a 9-year-old male diagnosed with right knee tuberculosis after enduring severe symptoms for several months. Despite multiple negative biopsies and aspirates during initial debridement surgeries, a biopsy taken 6\u2009months later confirmed the presence of Mycobacterium tuberculosis (MTB). The patient was subsequently treated with debridement and anti-tubercular therapy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> This case underscores the critical need to consider tuberculosis in patients presenting with chronic bone pain to avoid misdiagnosis, particularly in the developing world. The atypical presentation of osteoarticular tuberculosis in this young patient emphasizes the need for healthcare professionals to recognize subtle symptoms. Advanced imaging studies like MRI and microbiological evaluations, including site biopsies, are essential for accurate diagnosis. Increased awareness and collaborative research are crucial to improving the understanding and management of pediatric osteoarticular tuberculosis and extrapulmonary tuberculosis. <\/jats:p><\/jats:sec>","DOI":"10.1177\/11795476241263683","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T13:06:16Z","timestamp":1719061576000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Silent Case of Pediatric Osteoarticular Tuberculosis: A Case Report and Review of the Literature"],"prefix":"10.1177","volume":"17","author":[{"given":"Mohammad Ali","family":"Alshrouf","sequence":"first","affiliation":[{"name":"The School of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Zuhdi O","family":"Elifranji","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Sereen","family":"Halayqeh","sequence":"additional","affiliation":[{"name":"The School of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Munther","family":"Al-Saber","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Abdulrahman M","family":"Karam","sequence":"additional","affiliation":[{"name":"Department of Urology, Abdali Hospital, Amman, Jordan"}]}],"member":"179","published-online":{"date-parts":[[2024,6,22]]},"reference":[{"key":"bibr1-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1177\/2049936114528173"},{"key":"bibr2-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000003447"},{"key":"bibr3-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.01.005"},{"key":"bibr4-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijtb.2019.08.014"},{"key":"bibr5-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(08)70182-8"},{"key":"bibr6-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0b013e31827d8c0a"},{"key":"bibr7-11795476241263683","first-page":"73","volume":"8","author":"Agarwal AK","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"bibr8-11795476241263683","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00805"},{"key":"bibr9-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.07.028"},{"key":"bibr10-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjbs.2016.01.026"},{"key":"bibr11-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/7648014"},{"key":"bibr12-11795476241263683","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2017.v107i11.12577"},{"key":"bibr13-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1016\/j.rppnen.2017.10.009"},{"key":"bibr14-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1097\/00045391-200007060-00009"},{"key":"bibr15-11795476241263683","unstructured":"World Health Organization. Table, Recommendations on treatment of TB disease in children and adolescents, https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK579373\/table\/webannex5.tab4\/ (2022, accessed 19 May 2024)."},{"key":"bibr16-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1080\/1040841X.2016.1262813"},{"key":"bibr17-11795476241263683","first-page":"171","volume":"43","author":"Procopie I","year":"2017","journal-title":"Curr Health Sci J"},{"key":"bibr18-11795476241263683","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00003"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241263683","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476241263683","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241263683","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T12:27:37Z","timestamp":1741091257000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476241263683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":18,"alternative-id":["10.1177\/11795476241263683"],"URL":"https:\/\/doi.org\/10.1177\/11795476241263683","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"11795476241263683"}}