A diagnostic approach to tuberculosis of bones and joints

Versfeld, G. A.; Solomon, Albert

doi:10.1302/0301-620x.64b4.7096418

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%

Tuberculous Osteomyelitis in the Ulna of a Patient Undergoing Hemodialysis

et al. 2013

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A 76-year-old woman on hemodialysis (HD) presented with pain and swelling in the left wrist and forearm. The osteomyelitis occurred in the part of the ulna adjacent to the arteriovenous fistula. Mycobacterium tuberculosis was identified in pus obtained from the left forearm, leading to a diagnosis of tuberculous osteomyelitis. The patient was treated with anti-tuberculous drugs and her symptoms improved. In this study, we report a case of tuberculous osteomyelitis occurring in the ulna, which is not the usual site of predilection for tuberculosis infection. As HD patients exhibit a high frequency of extrapulmonary tuberculosis, tuberculous osteomyelitis should be considered in the differential diagnosis of infectious osteomyelitis. In addition, it may be useful to perform stab cultures at an early stage in order to diagnose tuberculous osteomyelitis.

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Section: Discussionmentioning

confidence: 99%

Tuberculous Osteomyelitis in the Ulna of a Patient Undergoing Hemodialysis

et al. 2013

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“…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%

Tubercular osteomyelitis of the second metatarsal bone: case report

Muratori

Menghi

Fantoni

et al. 2007

J Orthopaed Traumatol

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“…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%