Cytological diagnosis of vertebral tuberculosis with fine-needle aspiration biopsy.

Mondal, Arnab

doi:10.2106/00004623-199402000-00003

Cited by 62 publications

(31 citation statements)

References 11 publications

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“…Fine needle aspiration biopsy done under CT-guidance was successful in diagnosing spinal tuberculosis in 34 out of 38 patients; in the remaining four patients with a previous history of anti-tubercular treatment, acid-fast bacilli could not be isolated. 25 Histologic studies were con®rmatory of TB in 59 ± 76% of the cases. 5,26 Although TB of the spine is an ancient disease, treatment of this disease has undergone major changes since 1950.…”

Section: Discussionmentioning

confidence: 96%

Tuberculosis of the spine (Pott's disease) presenting as ‘compression fractures’

2002

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Section: Discussionmentioning

confidence: 96%

Tuberculosis of the spine (Pott's disease) presenting as ‘compression fractures’

2002

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“…Posterolateral approach at thoracic levels might lead to pulmonary complications [15] hence in our set up we performed this procedure mainly for lumbar segments. Transpedicular approach may be preferred in thoracic region under CT guidance with thinner needles [8,9,[15][16][17] . There is not much of difference in accuracy of either posterolateral or transpedicular approach [15,17] .…”

Section: Discussionmentioning

confidence: 99%

Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Shetty¹,

Bhat²

2017

Int. J. Orthop. Sci.

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Background: The percutaneous image-guided procedure is faster and more cost-effective and has an overall lower risk of complications. Despite considering image intensified fluoroscopy guided biopsy of spine as one of the valuable diagnostic procedure, favorable diagnostic yield of this method in Indian population has not been convincingly proved. Hence this study was undertaken to determine the diagnostic yield of this procedure comparing with the available literature. Materials and Methods: A record based retrospective study was conducted at hospitals affiliated to Kasturba Medical college, Manipal. 134 patients who underwent image intensified fluoroscopy guided closed vertebral biopsy were included in the present study. Data was collected by using a semi structured questionnaire and was analyzed by statistical package for social sciences 11.5. The results were expressed as percentages. Results:The diagnostic yield taking all reports into consideration is 98.5%. Fifth lumbar vertebra was most commonly biopsied level in 32(23.8%).Complications occurred only in 3 (2.2%) out of 134 patients Conclusion: Image intensified fluoroscopy guided closed vertebral biopsy can be considered as first modality of invasive investigation for all perplexed lesions of lumbar spine. Simplicity and cost effectiveness of the procedure makes it a reasonable option.

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“…[1][2][3]9,[23][24][25] Asido-rezistan basil ya da kültür pozitifliğinin %89,5 oranlarına ulaştığı bildirilmektedir. 26 Çalışmada olguların büyük ço-ğunluğunda torakal ve lumbal vertebra tutulumu gözlenmiştir. Manyetik rezonans görüntülemede, %80'inde birden fazla vertebra tutulumu, %68'sinde kifoz deformitesi, %54,6'sında yumuşak doku dansitesinde artış, %63,6'sında çeşitli düzeyde spinal bası, %41'inde paravertebral apse, %54,6'sında psoas apsesi saptanmıştır.…”

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Investigation of Sixty Extrapulmonary Tuberculosis Cases

Bozca¹,

Özgenç²,

Avcı³

et al. 2012

Turkiye Klinikleri J Med Sci

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A An na ah ht ta ar r K Ke el li im me el le er r: : Mikobakteryum tüberkulozis; mikobakterium enfeksiyonları A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to examine cases diagnosed with extrapulmonary tuberculosis (EPTB) in the Infectious Diseases and Clinical Microbiology Department of our hospital. M Ma a--t te er ri ia al l a an nd d M Me et th ho od ds s: : EPTB cases followed up between January 2004-March 2009 were analyzed retrospectively. Medical histories, symptoms, physical, and laboratory findings, treatment and outcome of the cases were analyzed in detail and recorded. Diagnosis of extrapulmonary tuberculosis was made with bacteriologic and/or histopathologic and/or radiologic findings along with clinical findings, and responce to treatment. R Re es su ul lt ts s: : Sixty patients were included in the study. Of the cases, 35 (58%) were females and mean age was 49.5 ± 17.8 years (range 18-76). Bone-joint tuberculosis and tuberculous meningitis constituted approximately two-thirds of the cases. Other EPTB cases involved lymph node, pleura, peritoneum, urinary system and breast tuberculosis respectively in terms of frequency. Twenty-three percent of the cases multi-organ involvement. An underlying disease was present in 21 (35%) cases. General and clinical features of the cases were determined and indicated. On radiologic examination, sequel lesion was present in 25 (42%) cases and miliary involvement was present in 7 (12%) cases on chest X-ray. Acidoresistant bacilli were seen in 16 (26.7%) cases in direct microscopic examination of various samples with Ehrlicl-Ziehl-Neelsen method. Mycobacterium tuberculosis complex was recovered in 25 (42%) cases. Histopathologic evaluation of 16 out of 27 cases (59%) revealed as granulomatous inflammation. Mortality rate was 8.3% and sequela rate was 3.3%. C Co on nc cl lu us si io on n: : Tuberculosis is still an important health problem in developing countries such as Turkey. The review of EPTB cases revealed that mortality and sequela rates were low due to early diagnosis and treatment.

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Cytological diagnosis of vertebral tuberculosis with fine-needle aspiration biopsy.

Cited by 62 publications

References 11 publications

Tuberculosis of the spine (Pott's disease) presenting as ‘compression fractures’

Tuberculosis of the spine (Pott's disease) presenting as ‘compression fractures’

Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Investigation of Sixty Extrapulmonary Tuberculosis Cases

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