Case Report: Tuberculous Arthritis of Peripheral Joints in Patients With Previous Inflammatory Rheumatic Disease

Hortas, C.; Ferreiro, José Luis; Galdo, B.; Arasa, F; Barbazán, Ceferino; Mera, Antonio; Mosquera, Jaime

doi:10.1093/rheumatology/27.1.65

Cited by 20 publications

(7 citation statements)

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“…As formas extrapulmonares de tuberculose, dentre elas a osteoarticular, apresentam sintomas inespecíficos e insidiosos, com consequente demora no diagnóstico e instituição do tratamento adequado [16][17][18][19][20][21][22][23] . O tempo decorrido entre o surgimento dos sintomas e o início do tratamento pode chegar a um ano 9,21 .…”

Section: Discussionunclassified

Tuberculose de articulação coxofemoral: a propósito de um caso

Sebben

Dotta

Oliveira

et al. 2012

Revista da Associação Médica Brasileira

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Section: Discussionunclassified

Tuberculose de articulação coxofemoral: a propósito de um caso

Sebben

Dotta

Oliveira

et al. 2012

Revista da Associação Médica Brasileira

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“…Although synovial biopsy was not routinely undertaken, examination for Mycobacterium tuberculosis was performed in the cases where a more insidious monarthritis was slow to improve. [22][23][24] Similar bacteriological techniques were used in both cohorts, which must make it unlikely that failure to grow live bacteria in the cases of suspected SA was due to improper collection or suboptimal transport conditions. 25 In the mouse model it is essential to inoculate with live bacteria to produce SA.…”

Section: Discussionmentioning

confidence: 99%

Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis

Gupta

Sturrock²,

Field³

2003

Annals of the Rheumatic Diseases

133

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Objective: To investigate whether patients with acute septic arthritis (SA) diagnosed by positive synovial fluid (SF) culture (Newman grade A) have different clinical and serological features from those with sterile SF in whom there is nonetheless a high suspicion of SA (Newman grades B and C). Patients and methods: A prospective 12 month multicentre hospital based study of adult patients with SA recruited 47 patients with culture positive SA and 35 patients with clinically suspected SA but sterile SF. Results: Patient demography, clinical and laboratory features at presentation were similar irrespective of the underlying diagnosis, SF culture, and the presence of prosthetic joints. Medical and surgical treatment and outcome were comparable in the two patient groups. Patients with both suspected and proven SA were more likely to be from the more socially deprived areas of our community (p<0.0001). Conclusion: Patients in whom there is a high clinical suspicion of SA are comparable to those patients with SA with a positive SF culture and have similar morbidity and mortality on follow up. Therefore, if clinical suspicion of SA is high then it is correct to treat as SA in the absence of bacterial proof.

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“…10,11 The signs and symptoms are usually nonspecific, leading to delay in diagnosis and prompt therapy. 12 Added to this is the occasional co-existence of TB arthritis with other conditions such as gout and other rheumatic noninfectious arthritis. [12][13] In Saudi Arabia, the notification for pulmonary TB dropped from 240/100,000 in 1978 to 15/100,000 in 1991 and 11/100,000 in 1994.…”

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confidence: 99%