Tuberculose osseuse et articulaire des membres

Pertuiset, Édouard

doi:10.1016/s0246-0521(04)38928-x

Cited by 6 publications

(21 citation statements)

References 43 publications

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“…Our study showed a male predominance as with Mariconda (57.1%) [13]. However most of the authors did not note any predominance of either sex [4]- [14]. In addition to epidemiological and clinical arguments, biological, imaging, therapeutic and evolutionary data have completed our argument in the absence of histological or bacteriological evidence.…”

Section: Discussionsupporting

confidence: 51%

Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan

Diomandé¹,

Kaboré²,

Kouakou³

et al. 2015

OJRA

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Objective: To describe paraclinical, therapeutic and evolutionary aspects of osteoarticular tuberculosis in Abidjan. Materials and Method: We realized a descriptive retrospective study carried out in the Rheumatology Department of the University Hospital Center of Cocody in Abidjan about 550 patients over a period of 10 years from January 2004 to December 2013. The paraclinical, therapeutic and evolutionary data had interested us. Results: Osteoarticular tuberculosis represented 12.13% of 4531 rheumatic diseases identified during the study period. The tuberculin skin test was positive in 78.49% of cases. An inflammatory syndrome was present with erythrocyte sedimentation rate and C-reactive protein respectively into 69.45% and 76.54% of cases. The research of Mycobacterium tuberculosis was realized into 176 of cases which 50% was positive. Polymerase chain reaction and biopsy of tissue were performed respectively in 8 and 6 cases. Plain radiography (89.82%) and computed tomography (83.63%) were the most realized imaging. Computed tomography has contributed for the diagnostic in 99.78% of cases. The majority of our patients (82.91%) received anti-tuberculous treatment which consisted of two months of combination of rifampicin (R), isoniazid (H), pyrazinamide (Z) and Ethambutol (E) (2RHZE), followed by 10 months of rifampicin (R) and isoniazid (H) (10 RH). The outcome in patients on this treatment was favorable in 528 cases (96%). Conclusion: This study revealed that the research of Mycobacterium tuberculosis was often realized and positive. On the contrary, polymerase chain reaction and biopsy of tissue were rarely performed. The main imaging is computed tomography. Our protocol

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Section: Discussionsupporting

confidence: 51%

Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan

Diomandé¹,

Kaboré²,

Kouakou³

et al. 2015

OJRA

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“…Therapy is based on 9–12 months of antituberculous chemotherapy. Our patient reported an improvement of gait but in some cases the importance of bone destruction and the resulting functional disability can require orthosis or in some instances surgical procedure for severely deformed foot joints [3] .…”

Section: Discussionmentioning

confidence: 62%

“…It affects all age groups with predominance in young people in developing countries and adult patients in developed countries, with no gender predominance. The most common localization is the thoracolumbar spine which accounts for up to 50% [3] .…”

Section: Introductionmentioning

confidence: 99%

Navicular tuberculosis: A rare localization of bone tuberculosis

Lemnouer

Frikh

Belfquih

et al. 2015

IDCases

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Tuberculosis (TB) is a global public health problem endemic to Morocco. While extrapulmonary TB uncommonly presents in osteoarticular anatomic locations, tarsal or metatarsal osteitis can occur when TB presents in the tarsal bones. Clinical symptoms are often insidious causing a delay in diagnosis that may lead to bone destruction. While diagnosis can be guided by X-ray imaging, bacteriologic and histologic examination of the tissue allows for pathogen isolation, identification of the bacillus and strain sensitivity to antibacillary treatment.We report a rare case of navicular osteitis associated with tarso-metatarsal arthritis caused by tuberculosis in a 68-year-old man. This case illustrates an exceptional location of osteoarticular TB and support diagnostic difficulties encountered: (i) imaging is not specific; (ii) lesions are paucibacillary which reduces conventional microbiological methods sensitivity and (iii) the peripheral location of the Koch bacillus within the lesion dictates surgical biopsy than percutaneous puncture. We recommend testing for tuberculosis in any case of chronic osteolysis and/or arthritis of the foot, especially in TB endemic countries.

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“…E.Pertuiset considère que les bursites tuberculeuses font partie des tuberculoses ostéo-articulaires. Elles sont dues à un ensemencement d'origine hématogène de la synoviale de la bourse séreuse [ 2 ]. L'inoculation directe et la contamination par contiguïté ont été décrites [ 3 ].…”

Section: Discussionunclassified

“…Il existe deux formes anatomopathologiques des bursites tuberculeuses: la forme exsudative avec distension de la bourse séreuse et la forme abcédée avec petits abcès et des calcifications. Une atteinte des parties molles et des structures ostéo-articulaires adjacentes par contiguïté peut se voir à un stade avancé de leur évolution [ 2 ]. Comme toute tuberculose périphérique, l'atteinte de l'épaule se voit préférentiellement chez des terrains d'immunodépression particuliers tels que: l'insuffisance rénale chronique notamment hémodialysé, la transplantation rénale, le diabète, une pathologie tumorale maligne, l'éthylisme, la cirrhose éthylique, les connectivites, la corticothérapie au long cours et les traitements immunosuppresseurs [ 2 , 4 , 5 ].…”

Section: Discussionunclassified

Bursite tuberculeuse de l’épaule chez une insuffisante rénale chronique: à propos d’un cas

et al. 2018

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La tuberculose de l'épaule est rare. Elle regroupe toutes les atteintes tuberculeuses des tissus articulaires et péri-articulaires de l'épaule. Son évolution insidieuse mimant les pathologies inflammatoires et dégénératives, explique la fréquence de son retard diagnostique. Nous rapportons un cas rare d'une bursite tuberculeuse de l'épaule chez une femme de milieu rural, insuffisante rénale et traitée pour une tuberculose péritonéale et du psoas. Des signes d'imprégnation tuberculeuse ont été notés à l'anamnèse. L'examen clinique trouvait une tuméfaction douloureuse de l'épaule avec raideur. L'IRM de l'épaule était en faveur d'une bursite infectieuse. L'origine tuberculeuse était confirmée par l'examen histologique d'une biopsie synoviale écho-guidée. Un traitement antituberculeux lui a été instauré avec bonne évolution. Au recul de 9 ans, elle retrouve une fonction articulaire satisfaisante avec absence de récidive infectieuse.

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Tuberculose osseuse et articulaire des membres

Cited by 6 publications

References 43 publications

Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan

Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan

Navicular tuberculosis: A rare localization of bone tuberculosis

Bursite tuberculeuse de l’épaule chez une insuffisante rénale chronique: à propos d’un cas

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