Evidence map›Paper›PMID 42039737›Full record

ArticleCase reports in infectious diseases2026

A Case of Miliary Tuberculosis Complicated by Knee Joint Tuberculosis.

Saiki Yoshimura, Kentaro Satomi, Kohei Fujita, Hiromasa Tachibana, Yuta Okada, Naoki Fujimoto, Shogo Toyama, Takanori Ito, Takuma Imakita, Issei Oi and 2 more

Abstract read
In one paragraph

Article in Case reports in infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Saiki YoshimuraDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.
Kentaro SatomiDepartment of Orthopaedic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.
Kohei FujitaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0000-0002-6902-9085
Hiromasa TachibanaDepartment of Respiratory Medicine, National Hospital Organization Minami-Kyoto Hospital, Joyo, Japan.
Yuta OkadaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.
Naoki FujimotoDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.
Shogo ToyamaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0009-0009-0961-2146
Takanori ItoDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.
Takuma ImakitaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0000-0002-1246-2339
Issei OiDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0000-0002-9624-7678
Osamu KanaiDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0000-0003-0736-3317
Kiminobu TanizawaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, hosp.go.jp.ORCID https://orcid.org/0000-0002-5719-0744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report details a 75-year-old male diagnosed with miliary tuberculosis (TB) who subsequently developed tuberculous arthritis in his left knee. The patient was initially admitted for a hemorrhagic gastric ulcer, where chest imaging and positive cultures from multiple sites confirmed miliary TB. Standard antitubercular therapy was started, but 6 weeks later, he presented with worsening pain and swelling in his left knee. A joint aspiration and MRI confirmed tuberculous arthritis with an abscess, which necessitated surgical debridement in addition to the drug regimen. We emphasize that orthopaedic TB often requires surgical intervention alongside medication for successful treatment. While total knee arthroplasty can be an effective treatment for joint destruction, the previous report suggests that it should be delayed until after a prolonged course of antitubercular therapy (e.g., 12 months or more) to prevent recurrence.

Indexed as

debridementknee joint TBmiliary TBorthopaedic TB

Identifiers

PMID42039737
PMCPMC13107115

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.