Les trochant�rites tuberculeuses

Karray, S.; Karray, M.; Ayadi, Kafia; Zouari, M.; Zlitni, M.; Douik, M.; Litaiem, T; Slimane, N.

doi:10.1007/bf00181708

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…L'ostéomyélite tuberculeuse est habituellement une ostéo-myélite chronique avec un long délai diagnostique [4,10,23,34,37]. Elle se manifeste par des douleurs et/ou une tuméfac-tion, évoluant lentement vers l'aggravation.…”

Section: Aspects Cliniques Des Ostéomyélitesunclassified

“…Non diagnostiquée, elle se complique d'abcès des parties molles et de fistulisation, avec souvent surinfection à germe banal. L'ostéite peut toucher l'articulation adjacente et entraîner une raideur articulaire, ce qui est observé dans 12 % des cas de trochantérite tuberculeuse [37]. Une fracture pathologique est rare.…”

Section: Aspects Cliniques Des Ostéomyélitesunclassified

“…Une augmentation de la vitesse de sédimentation (VS) entre 25 et 100 mm/h est présente dans la grande majorité des cas [12]. Néanmoins, la VS est normale dans 10 à 20 % des cas [1,2,8,37]. L'analyse cytologique du liquide articulaire montre quasi constamment un liquide hypercellulaire, avec le plus souvent plus de 5000 éléments/mm 3 .…”

Section: Examens Biologiquesunclassified

“…Dans plusieurs séries d'arthrites tuberculeuses, l'IDR était négative dans 15 à 20 % des cas [1,2,8]. Dans des séries d'ostéites tuberculeuses, l'IDR était négative dans 5 à 10 % des cas [4,35,37]. Certains facteurs peuvent entraîner des faux négatifs : dénutrition, co-infection par le VIH ou autre état d'immunodépression.…”

Section: Intradermoréaction à La Tuberculineunclassified

“…Quand il existe un abcès, se pose la question de sa ponction ou de sa biopsie (risque de fistule après ponction). Quand il existe une fistule, le prélèvement bactériolo-gique de la fistule est facile, mais source d'erreur, car le BK y est rarement trouvé contrairement aux pyogènes qui la contaminent souvent [14,37].…”

Section: Méthodes De Prélèvementunclassified

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Tuberculose ostéoarticulaire extravertébrale

Pertuiset

2006

Revue du Rhumatisme

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Section: Aspects Cliniques Des Ostéomyélitesunclassified

Section: Examens Biologiquesunclassified

Section: Intradermoréaction à La Tuberculineunclassified

Section: Méthodes De Prélèvementunclassified

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Tuberculose ostéoarticulaire extravertébrale

Pertuiset

2006

Revue du Rhumatisme

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Osteonecrosis of the hip in sickle-cell disease associated with tuberculous arthritis

Varango

Bamba

Kodo

et al. 1998

International Orthopaedics

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We report a study of 15 cases of tuberculous hips with sickle-cell disease who presented during 1991-1993. Although the osteonecrosis was long-standing, biopsy was nearly always required to reveal the more recent tuberculous infection. Management consisted of 6 months of anti-tuberculous chemotherapy with appropriate palliative surgery 5-8 weeks after the start of drug treatment. The operative techniques which we used are described. The results were good both post-operatively, and in 12 patients followed-up at an average of 3 years. We recommend this combined management for the treatment of secondary tuberculous infections of hips previously damaged by sickle-cell disease.

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Hydatid Cyst of Bone: Diagnosis and Treatment

et al. 2001

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Osseous hydatidosis is a rare occurrence of hydatid disease. Anatomoclinical changes are, however, peculiar to this localization. From the anatomopathologic standpoint, this localization marks the torpid, insidious progression of the parasite into bone tissue, leading to an immediate diffuse, extensive, invasion process, so complete surgical eradication is rarely possible. From the clinical standpoint, whatever the localization may be, we are surprised by the latency of this affection, the patient being treated at an advanced stage, when radiologic lesions are already extensive, and the complications, especially in the spinal area, are severe. Owing to the poor biologic findings, the diagnosis of osseous hydatidosis is still primarily based on roentgenographic findings. Sometimes, however, the diagnosis is established only after surgery. Treatment of osseous hydatidosis is closer to oncologic therapy than to the usual surgical treatment of visceral hydatid cysts. Because of the poor results with medical treatment, osseous hydatidosis must be treated by a radical operation with wide excision, adapted to each localization. In the main, the prognosis of osseous hydatidosis remains poor, especially with spinal and pelvic localizations, which are the most frequent ones. The prognosis and treatment of osseous hydatidosis belong in the same category as a locally malignant lesion.

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Les trochant�rites tuberculeuses

Cited by 10 publications

References 11 publications

Tuberculose ostéoarticulaire extravertébrale

Tuberculose ostéoarticulaire extravertébrale

Osteonecrosis of the hip in sickle-cell disease associated with tuberculous arthritis

Hydatid Cyst of Bone: Diagnosis and Treatment

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