Imaging of extraspinal musculoskeletal tuberculosis

Backer, A. I. De; Mortelé, Koenraad J.; Fm, Vanhoenacker; Parizel, Paul M.

doi:10.1016/j.ejrad.2005.07.005

Cited by 87 publications

(96 citation statements)

References 35 publications

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“…CNS disease, such as TB meningitis or tuberculoma, may also be identified on CT imaging, especially as contrast demonstrates meningeal enhancement (Figure 4). Magnetic resonance imaging has been found to be useful for musculoskeletal TB, particularly involving bones and joints [De Backer et al 2006]. …”

Section: Radiologymentioning

confidence: 99%

Tuberculosis in childhood

Shingadia

2012

Ther Adv Respir Dis

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There has been a recent global resurgence of tuberculosis (TB) fuelled by HIV infection and migration. Childhood TB represents a sentinel event in the community, suggesting recent transmission from an infectious adult. The diagnosis of TB in children is based on chest X-ray, tuberculin skin testing and mycobacterial staining/culture, although the diagnostic yield from these investigations is often lower than in adults. Newer diagnostic tests are being developed and may improve the diagnostic yield in childhood TB. Treatment of TB in children is similar to adults in that short-course multidrug treatment has been adopted as standard therapy in many national TB programmes. Compliance is a major determinant of the success of drug treatment and directly observed therapy has been adopted as a key component of TB treatment programmes. Although uncommon in children, multidrug-resistant TB is also increasing and treatment often involves longer courses of therapy with second-line drugs.

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Section: Radiologymentioning

confidence: 99%

Tuberculosis in childhood

Shingadia

2012

Ther Adv Respir Dis

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“…Vidal et al (1) reported that the venepuncture in immunocompetent patients had played a part in the devel- Tuberculous tenosynovitis should also be considered because the mass was very close to the tendon upon MR imaging. Tuberculous tenosynovitis appeared to be a varied form due to the duration tuberculosis; in the hygromatous stage, there is fluid collection in the tendon sheath and in the serofibrinous stage, thickening of the tendon and synovium with multiple rice bodies are shown (11). In the present case, our patient had only a mass with a sharp angled margin from the tendon and no fluid collection or no tendon thickening on her MR imaging.…”

Section: Discussionmentioning

confidence: 67%

Musculoskeletal Tuberculosis Presenting as Isolated Tuberculous Gumma in an Immunocompetent Patient

et al. 2018

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A 57-year-old woman with no significant past medical history and normal immunity presented with a slowly growing mass on her finger. MR imaging showed a low signal intensity soft tissue mass on both T1-and T2-weighted images with peripheral contrast enhancement. The mass was diagnosed as chronic granulomatous inflammation with caseous necrosis histopathologically and also Mycobacterium tuberculosis by a polymerase chain reaction about the tissue specimen. Authors thought that it was tuberculous gumma presented in an immunocompetent patient. This paper reports a rare case of tuberculous gumma with radiologic findings in an immunocompetent patient.

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“…Skeletal TB usually occurs in patients with risk factors such as low socioeconomic status and old age or in patients with immunecompromised states such as those with acquired immune deficiency syndrome (AIDS) or those undergoing organ transplantation (6). Skeletal TB primarily results from hematogenous dissemination or lymphogenous spread from primary or reactivated infected foci (6). Concomitant active pulmonary TB occurs in only 30% of cases of tuberculous osteoarthritis (7).…”

Section: Discussionmentioning

confidence: 99%

Atypical Disseminated Skeletal Tuberculosis Mimicking Metastasis on PET-CT and MRI

Lee

Lim

et al. 2012

Intern. Med.

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Multifocal skeletal tuberculosis is a very rare manifestation of tuberculous infection. The multiple bone lesions of multifocal skeletal tuberculosis are difficult to differentiate from metastasis, even when performing 2-[fluorine-18]-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (FDG PET/CT) or magnetic resonance imaging (MRI). A 25-year-old man presented with an abnormal chest X-ray. Radiologically, there were extensive osteolytic lesions on the skull, along the entire spine and on the ribs and both iliac bones, suggesting a diagnosis of bone metastasis. On FDG PET/CT, intensely increased F-18 FDG lesions were observed. A bone biopsy with a microbiologic study revealed a tuberculous infection. Follow-up PET/CT performed after treatment showed marked improvement in the extensive FDG uptake lesions.

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Imaging of extraspinal musculoskeletal tuberculosis

Cited by 87 publications

References 35 publications

Tuberculosis in childhood

Tuberculosis in childhood

Musculoskeletal Tuberculosis Presenting as Isolated Tuberculous Gumma in an Immunocompetent Patient

Atypical Disseminated Skeletal Tuberculosis Mimicking Metastasis on PET-CT and MRI

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