Tuberculosis of the Knee

Hoffman, E.B.; Allin, John; Campbell, John; Leisegang, Felicity

doi:10.1097/00003086-200205000-00014

Cited by 60 publications

(37 citation statements)

References 7 publications

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“…The most common manifestations of skeletal tuberculosis in children are spondylitis, osteomyelitis, and involvement of the joints [11,71]. In children, common areas affected by the disease included the knee [72,73], lytic circumscribed lesions of the cranium [7,74,75], spine [71,76], hip [73,77], elbow [78], and ribs [76]. There is no documentation with regard to dental abnormalities found in juvenile tuberculosis [7,79].…”

Section: Differential Diagnosismentioning

confidence: 99%

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Ioannou

Henneberg

et al. 2015

Journal of Anthropology

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Without the presence of “caries sicca,” “sabre shins,” and nodes/expansion of the long bones with superficial cavitation, differential diagnosis of venereal syphilis and tuberculosis (TB) may be difficult as various infections produce similar responses. However, congenital syphilis has distinctive features facilitating a diagnosis. A case study of remains of a juvenile European settler (probably male, 8–10 years old) (B70) buried in the 19th century and excavated in 2000 from the cemetery of the Anglican Church of St. Marys in South Australia is presented. B70 demonstrated that the two diseases might have been present in the same individual, congenital syphilis and TB. Widespread destruction of vertebral bodies and kyphosis-related rib deformations indicate advanced TB. Severe dental hypoplasia is limited to permanent incisors and first molars; there is pitting on the palate, periosteal reaction on the skull vault, and thinned clavicles. Dental signs are not limited to “screwdriver” central incisors and mulberry molars. Apical portions of the crowns of permanent upper, lower, central, and lateral incisors have multiple hypoplastic-disorganized defects; deciduous canines have severely hypoplastic crowns while possibly hypoplastic occlusal surfaces of lower deciduous second molars are largely destroyed by extensive caries. These dental abnormalities resemble teeth affected by mercurial treatment in congenital syphilitic patients as described by Hutchinson.

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Section: Differential Diagnosismentioning

confidence: 99%

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Ioannou

Henneberg

et al. 2015

Journal of Anthropology

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“…9 A biopsy is often required to make the diagnosis, and synovectomy may be considered at the same time, although this remains controversial. 22,30,35 During the early stages, traction and/or serial casting may be used to treat flexion contracture (with or without subluxation), and splinting in extension may help to prevent this complication (Fig. 4B).…”

Section: Other Jointsmentioning

confidence: 99%

“…4B). 22,30 For who present at a late stage without deformity, immobilization is recommended until the joint fuses. Osteotomy may be required to reorient the joint, and surgical arthrodesis may be required if spontaneous fusion (or fibrous ankylosis) has not occurred.…”

Section: Other Jointsmentioning

confidence: 99%

Tuberculosis of the Musculoskeletal System

Spiegel¹,

Singh²,

Banskota³

2005

Techniques in Orthopaedics

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“…Osteoarticular tuberculosis is a quite uncommon form of extrapulmonary tuberculosis, with skeletal tuberculosis accounting for 1-5% of all the tuberculosis infections [1]. Mostly, the vertebra is affected in the skeletal system followed by the joints, the hips and the knees being the most common among the joints [2,3]. Skeletal tuberculosis is localized to a single site in 90-95% of the reported cases.…”

Section: Introductionmentioning

confidence: 99%

The Appropriate DOTS Regimen Greatly Reduces the Disabilities in Polyarticular EPTB

Pandey

Surana²

2013

JCDR

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The placement of cases of Extrapulmonary Tuberculosis (EPTB) on the appropriate Directly Observed Treatment Short Course (DOTS) regimen remains a problematic issue in India and often, consultants delay this, leading to significant avoidable pain, discomfort and reduction in the quality of life of the patients. In contrast, a prompt institution of the DOTS regimen can regress such problems, even at a delayed stage. The following case report on polyarticular tuberculosis which involved the bilateral knee and ankle joints without a pulmonary or disseminated form of tuberculosis, amply highlights these facts.

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Tuberculosis of the Knee

Cited by 60 publications

References 7 publications

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Tuberculosis of the Musculoskeletal System

The Appropriate DOTS Regimen Greatly Reduces the Disabilities in Polyarticular EPTB

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