Osteoarticular tuberculosis: The great mimicker still catches us out —a case report

Magnussen, Alex; Amirthanayagam, Tressa; Sofat, Rajesh

doi:10.3109/17453674.2015.1103115

Cited by 2 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The peculiarity of the case is the triple localisation: pulmonary, one in the coccyx and the another one at the tibio-talar level; in most cases the osteoarticular TB is monoarticular or in a localised segment of the vertebral column, whereas in only 10% of patients multiple lesions appear (8). The bacteriological examination for MTB from pathological products such as synovial fluid, para-articular abscesses and bone fragment is positive in only 25%-30% of cases; this patient had both positive smears and cultures from the level of perianal fistulas and peritibial abscess (12,13). If osteoarticular TB is diagnosed and treated at an early stage, approximately 90%-95% of patients would not experience complications.…”

Section: Discussionmentioning

confidence: 80%

Coexistence of multiple forms of tuberculosis – a delayed diagnosis

Amalia,

Emanuela,

Cristian

2022

Pneumologia

View full text Add to dashboard Cite

Introduction Tuberculosis (TB) can be located in any segment of the osteoarticular system, being the most common in the spine, with approximately 50% of cases. In only 10% of the cases of osteoarticular TB the location is multiple; generally, it is monoarticular or located at the level of a single segment of the spine. The diagnosis can be delayed in the early stages due to its varied and hidden presentation and the probability of being confused with other pathologies of the osteoarticular system. Delay in diagnosis can lead to chronic pain, joint destruction and progression to symptomatic bony ankylosis. Case Presentation A 64-year-old man presented with left lower limb, coccyx pain and peri-anal discharge. CT scan of the pelvis showed recto-integumentary perianal fistulous trajectory externalised on the left side of the anus and osteomyelitis. Left ankle CT: Cystic image of approximately 4.2/6/10 cm well-demarcated, with some central microcalcifications, located in the postero-tibial soft parts, communicating with the tibiotalar joint. Conclusion This case highlights the importance of considering TB as a diagnosis if unusual sites are involved.

show abstract

Section: Discussionmentioning

confidence: 80%

Coexistence of multiple forms of tuberculosis – a delayed diagnosis

Amalia,

Emanuela,

Cristian

2022

Pneumologia

View full text Add to dashboard Cite

show abstract

“…No existing typical characteristics of a patient with TBC, or facts related to the disease, nevertheless, among those cases of bony lesions in which we suspect a pseudo tumoral lesion, the explanation could be an extra lung skeletal TBC. [4][5][6] This type of presentation of TBC is rare. Its pathogeny could be explained by hematogenous or lymphatic dissemination, or by direct inoculation.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2022

MOJOR

View full text Add to dashboard Cite

Osteoarticular tuberculosis: The great mimicker still catches us out —a case report

Cited by 2 publications

References 6 publications

Coexistence of multiple forms of tuberculosis – a delayed diagnosis

Coexistence of multiple forms of tuberculosis – a delayed diagnosis

Untitled

Contact Info

Product

Resources

About