Abstract:SUMMARY Thirty-eight of 58 patients with skeletal tuberculosis (TB) reviewed were immigrants and 20 were of British indigenous origin. Spinal involvement in 28 cases was less common than involvement of peripheral joints, bones, or tendon sheaths (30 cases). Predisposing factors, including previous TB, were present in 70% of British patients and 31 % of immigrants. Follow-up study of 23 cases showed that a complete clinical recovery of the skeletal disease was more likely in immigrants than indigenous cases and… Show more
“…This is similar to other studies, averaging 58% with a range of 50%-73%. [1][2][3][4][5][6][7][8][9]15,16 The disease was monoarticular in all of our patients. Others had slightly lower percentages of 80%-91%.…”
Section: Discussionmentioning
confidence: 99%
“…This is also similar to results of other reported studies. [1][2][3][4][5][6][7][8]15 The knees were affected in 11 out of 27 patients (40.7%). The predilection for knee tuberculous arthritis may be due to the vulnerability of the knees to trauma, and the wide prevalence of knee osteoarthritis.…”
Section: Discussionmentioning
confidence: 99%
“…But despite these, musculoskeletal TB is still uncommon and accounts for only 1%-5% of all cases of TB. [2][3][4][5][6][7][8][9] Prior to the era of anti-tuberculous medications, skeletal TB was considered a disease primarily of children, and continues to be so in underdeveloped countries. However, in developed countries, the highest incidence of skeletal lesions is to be found in older adults rather than children.…”
“…This is similar to other studies, averaging 58% with a range of 50%-73%. [1][2][3][4][5][6][7][8][9]15,16 The disease was monoarticular in all of our patients. Others had slightly lower percentages of 80%-91%.…”
Section: Discussionmentioning
confidence: 99%
“…This is also similar to results of other reported studies. [1][2][3][4][5][6][7][8]15 The knees were affected in 11 out of 27 patients (40.7%). The predilection for knee tuberculous arthritis may be due to the vulnerability of the knees to trauma, and the wide prevalence of knee osteoarthritis.…”
Section: Discussionmentioning
confidence: 99%
“…But despite these, musculoskeletal TB is still uncommon and accounts for only 1%-5% of all cases of TB. [2][3][4][5][6][7][8][9] Prior to the era of anti-tuberculous medications, skeletal TB was considered a disease primarily of children, and continues to be so in underdeveloped countries. However, in developed countries, the highest incidence of skeletal lesions is to be found in older adults rather than children.…”
“…Sarcoidosis may be polyarticular, but is rarely present as monoarthritis, which is intermittent and persistent. Tuberculin skin test (PPD) may be positive in more than 90% of patients with osteoarticular tuberculosis (Berney et al 1972;Halsey et al 1982;Kerri and Martini 1985;Lee et al 1995). The hemogram shows normal white cell count and mildly elevated ESR (Wang et al 2000).…”
Section: Diagnosis Of Extraspinal Bone and Joint Tuberculosismentioning
“…O comprometimento ósseo é predominante e a coluna vertebral é a região mais frequentemente acometida (6) . O envolvimento articular é ainda menos usual e, em 50 a 73%, ocorre nas articulações de carga, como quadril e joelho (7)(8)(9) . O ombro raramente é acometido (6,7) .…”
RESUMOObjetivo: Relatar um caso raro de tuberculose disseminada em paciente imunocompetente, que evoluiu, durante o tratamento medicamentoso padrão, com envolvimento do tendão da porção longa do bíceps e da articulação do ombro. Métodos: À primeira avaliação, o diagnóstico correto não foi feito e o paciente foi tratado com fisioterapia para tendinopatia do manguito rotador. Entretanto, apresentou rápida formação de massa na região anterior do terço proximal do braço e piora da dor. A punção da massa revelou líquido amarelado, cuja análise laboratorial confirmou tratar-se de infecção por M. tuberculosis. Resultados: O paciente foi tratado com desbridamento cirúrgico e troca do esquema medicamentoso e evoluiu com resolução do quadro infeccioso e melhora completa da função do ombro direito. Conclusão: Devido a sua alta prevalência no Brasil, a tuberculose deve sempre ser considerada no diagnóstico diferencial dos casos de comprometimento crônico e progressivo das articulações, ossos, músculos, tendões e bursas, mesmo em indivíduos imunocompetentes.
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