Tuberculose de articulação coxofemoral: a propósito de um caso

Sebben, André Luís; Dotta, Gabriel; Oliveira, André Emanuel Lunkes de; Lima, Renata de; Schneider, Marielen; Sebben, Marco; Roso, Vanderson

doi:10.1590/s0104-42302012000100008

Cited by 7 publications

(8 citation statements)

References 22 publications

(22 reference statements)

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“…13,14 There was higher incidence among males (66.1%, n= 4,258), possibly because they are more exposed to risk factors such as alcoholism, tobacco use and HIV, a pattern found nationwide. 15 We observed a greater predominance among individuals with a low education level, a fact also reported in patients with the pulmonary form by several studies. The low education level is a determining factor for increased social vulnerability of the individual, increased possibility of exposure, less prevention of contact with bacilliferous patients, for the development of the disease and abandonment of treatment.…”

Section: Discussionsupporting

confidence: 80%

Notification of 6442 Cases of Bone Tuberculosis in Brazil: Epidemiological Profile From 2009 to 2018

Moraes

Soares

Vieira³

et al. 2021

Coluna/Columna

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Objective: To analyze the occurrence of notified cases of bone tuberculosis in Brazil during the period from 2009 to 2018. Methods: Quantitative, descriptive and retrospective study. The data consisted of cases reported to the Notifiable Diseases Information System (SINAN) of DATASUS. To analyze the results, the non-parametric statistical Chi-squared and G tests, capable of expressing statistical associations, were used. Results: 6,442 cases of bone tuberculosis were reported in Brazil, with an average of 644.2 cases per year. The Southeast was responsible for 41.5% of the cases (n = 2676). The extrapulmonary form accounted for 87.9% (5661). There was a predominance in males (66.1%, n = 4258), Whites (41.6%, n = 2678) and in the above 35 years of age group (73.9%, n = 4757). In the data collected, the risk factor data was not correctly filled out, making reliable statistical associations impossible in this study, mainly between alcoholism, tobacco use, AIDS, diabetes, mental illness, illicit drug use and homelessness. Conclusion: There was greater notification of cases of bone tuberculosis in the Southeast and Northeast regions of Brazil, which predominantly affected young, economically productive men. Tuberculosis has a correlation with diabetes, HIV / AIDS, smoking and alcohol and drug use, according to the results of this study. Level of evidence II; Retrospective, analytical, quantitative and descriptive study.

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Section: Discussionsupporting

confidence: 80%

Notification of 6442 Cases of Bone Tuberculosis in Brazil: Epidemiological Profile From 2009 to 2018

Moraes

Soares

Vieira³

et al. 2021

Coluna/Columna

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“…8 Entretanto, alguns autores têm preconizado cursos mais curtos de tratamento (6 a 9 meses) contendo rifampicina, já que alguns estudos demonstraram resultados parecidos quando comparados aos tratamentos mais longos sem essa droga. 9 As diretrizes do Centro de Controle de Doenças norte-americano (CDC) e da Sociedade Brasileira de Pneumologia sobre tuberculose recomendam um tratamento por seis meses para todos os casos de tuberculose extrapulmonar, exceto os que acometam as meninges, que possuem um tratamento diferenciado dada sua alta morbimortalidade. 10,11 A paciente apresentava algumas síndromes geriátricas desencadeadas pelo processo infeccioso, como limitação funcional e depressão.…”

Section: Discussionunclassified

Perda funcional e depressão em paciente com infecção protética por M. tuberculosis após artroplastia de joelho: um relato de caso

et al. 2018

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Paciente idosa com quadro de infecção em prótese de joelho esquerdo, apresentando limitação funcional por dor e grande dificuldade de locomoção. Concomitantemente, apresentava o humor deprimido. Foi iniciado tratamento para depressão com duloxetina visando também melhor controle da dor, obtendo-se boa resposta. Paciente realizou novo procedimento cirúrgico para retirada da prótese, sendo evidenciada em cultura do material infecção por Staphylococcus capitis e Complexo Mycobacterium tuberculosis. Após o tratamento com esquema rifampicina (150 mg), isoniazida (75 mg), pirazinamida (400 mg) e etambutol (275 mg) por 9 meses, a paciente evoluiu com melhora significativa da dor e com recuperação da funcionalidade. A colocação de nova prótese restabeleceu sua independência prévia.Descritores: Depressão; Perda funcional; Infecção protética.

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“…This period may be extended in cases of poor response. As these drugs do not penetrate the bone or fibrous tissue deeply, some guidelines recommend extended treatment up to 12–18 months; treatment durations as long as 4 years have been reported [ 6 – 9 ]. Here, we present a case of multifocal skeletal tuberculosis affecting the knees in an immunocompetent individual, which progressed with a slow therapeutic response to a fixed-dose combination regimen of anti-tuberculosis drugs.…”

Section: Introductionmentioning

confidence: 99%

Multifocal skeletal tuberculosis in an immunocompetent patient: a case report

Araújo

Melo

et al. 2015

BMC Infect Dis

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BackgroundThe occurrence of multifocal skeletal involvement in immunocompetent patients is rare, even in countries where tuberculosis is endemic. Multifocal skeletal lesions may occur as a result of hematogenous dissemination from another primary focus such as cervical lymph nodes, lungs, tonsils or gastrointestinal tract.Case presentationWe present a 59 year-old man with a history of intermittent and disabling pain in his left knee for 2 years. The patient in this case presented with lung infection with bilateral skeletal dissemination in the knees and femurs. Immunological examination for the HIV was negative.ConclusionsDiagnosis of this condition is not always easy because of the disease’s insidious character, and it can be confused with other diseases such as osteoarthritis, especially in middle-aged individuals.

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Tuberculose de articulação coxofemoral: a propósito de um caso

Abstract: Figura 1 -Radiografia panorâmica de bacia em AP, mostrando diminuição do espaço articular à direita, além de achatamento da cabeça femoral ipsilateral.

Cited by 7 publications

References 22 publications

Notification of 6442 Cases of Bone Tuberculosis in Brazil: Epidemiological Profile From 2009 to 2018

Notification of 6442 Cases of Bone Tuberculosis in Brazil: Epidemiological Profile From 2009 to 2018

Perda funcional e depressão em paciente com infecção protética por M. tuberculosis após artroplastia de joelho: um relato de caso

Multifocal skeletal tuberculosis in an immunocompetent patient: a case report

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