1982
DOI: 10.1302/0301-620x.64b4.7096418
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A diagnostic approach to tuberculosis of bones and joints

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Cited by 71 publications
(20 citation statements)
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“…Moreover, relatively few M. tuberculosis organisms are present in extrapulmonary sites, and identification of acid-fast bacilli in specimens obtained from these sites using microscopy is infrequent. Therefore, performing PCR tests for TB in addition to cultures and histopathological examinations of tissue specimens, such as those that may be obtained with needle aspiration or biopsies, as diagnostic tests for extrapulmonary TB is recommended (23). Third, the tuberculin skin test exhibits poor sensitivity in HD patients.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, relatively few M. tuberculosis organisms are present in extrapulmonary sites, and identification of acid-fast bacilli in specimens obtained from these sites using microscopy is infrequent. Therefore, performing PCR tests for TB in addition to cultures and histopathological examinations of tissue specimens, such as those that may be obtained with needle aspiration or biopsies, as diagnostic tests for extrapulmonary TB is recommended (23). Third, the tuberculin skin test exhibits poor sensitivity in HD patients.…”
Section: Discussionmentioning
confidence: 99%
“…ESR is normally elevated, but a normal value and a negative skin test cannot exclude a diagnosis of tuberculosis. The radiological pattern is usually osteoporosis, bone expansion with reactive sclerosis, periosteal reaction, reduced joint space, soft-tissue swelling and progressive destruction of the joint, with a typical aspect of cystic expansion of the short tubular bones named "spina ventosa" [1][2][3][8][9][10]. MRI is the first-choice technique to reveal the soft-tissue, and marrow involvement, before plain radiography.…”
Section: Discussionmentioning
confidence: 99%
“…The zone of inflammation is large, and diagnostic material is most likely to be found inside the granulomatous focus, or in the synovium adjacent to a cyst. 79 Curettage of the lesion is recommended, however, bone grafting is not necessary. 26,63,70,71,80 …”
Section: Tuberculous Osteomyelitismentioning
confidence: 99%