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Scandinavian Journal of Infectious Diseases Volume 46, 2014 - Issue 7
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Case Reports

Joint failure after steroid therapy in tuberculous encephalitis

Christoph Ziskoven From the Department of Orthopaedic Surgery, Medical Faculty, Heinrich-Heine University of Düsseldorf, DüsseldorfCorrespondence[email protected]
,
Joachim RichterTropical Medicine Unit, Medical Faculty, Heinrich-Heine University of Düsseldorf, University Hospital for Gastroenterology, Hepatology, and Infectious Diseases, Düsseldorf
,
Thilo Patzer From the Department of Orthopaedic Surgery, Medical Faculty, Heinrich-Heine University of Düsseldorf, Düsseldorf
,
Jörn Kircher From the Department of Orthopaedic Surgery, Medical Faculty, Heinrich-Heine University of Düsseldorf, Düsseldorf;Shoulder and Elbow Surgery, Klinik Fleetinsel Hamburg, Hamburg, Germany
&
Rüdiger Krauspe From the Department of Orthopaedic Surgery, Medical Faculty, Heinrich-Heine University of Düsseldorf, Düsseldorf
Pages 533-536 | Received 04 Feb 2014, Accepted 12 Feb 2014, Published online: 22 Apr 2014
 
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Abstract

We report a case of multifocal avascular osteonecrosis (AVN) following steroid administration in a case of tuberculous encephalitis in a young patient. The risk of joint-related AVN as a side effect of adjunctive steroid therapy should be taken into consideration when evaluating the dosage and treatment duration in tuberculous encephalitis.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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