Tuberculosis of the wrist in children: A rare manifestation

Aghoutane, E.M.; Salama, T.; Fezazi, Redouane El

doi:10.4103/ijmy.ijmy_10_17

Cited by 5 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 5 ] A similar case was recently reported where a 10-year-old boy presented with painful swelling in the dorsum of the left wrist joint of 5-month duration. [ 6 ] Our patient also presented with pain, swelling, and restriction of movement for 6 months. Skeletal involvement in TB wrist usually includes capitate and distal radius.…”

Section: Discussionmentioning

confidence: 89%

Wrist swelling – Is it tuberculosis?

Shah

2017

J Family Med Prim Care

View full text Add to dashboard Cite

The hand and wrist are rare sites for tuberculosis (TB) and account for < 1% of all skeletal TB. Though rare, TB of the wrist is a cause of major morbidity. A common feature in the available reports on wrist TB is a delay in diagnosis causing residual stiffness and pain after treatment. Although TB of the wrist has a varied presentation, the majority of lesions respond to conservative treatment. We report a 12-year–old girl who presented with wrist swelling, having intercarpal, carpometacarpal, and radiocarpal joint involvement which turned out to be tuberculous and it healed with residual deformity.

show abstract

Section: Discussionmentioning

confidence: 89%

Wrist swelling – Is it tuberculosis?

Shah

2017

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…The case described here had a normal CXR; only approximately one third of patients with tuberculosis of the bone have pulmonary involvement, making chest X-ray screening less useful [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Osteitis of the radius following Bacillus Calmette–Guérin vaccination at birth: a case report

Kheir

Ibrahim

et al. 2017

J Med Case Reports

View full text Add to dashboard Cite

BackgroundThe Bacillus Calmette–Guérin vaccine, which is used for the prevention of tuberculosis, is considered protective against the severe forms of childhood tuberculosis. However, some serious adverse reactions including osteitis of the long bones can occur.Case presentationWe report a case of an 18-month-old Sudanese girl who presented at the age of 3 months with swelling of her left forearm following Bacillus Calmette–Guérin vaccination administered at birth. Radiological and histological investigations confirmed tuberculous osteitis of the distal radius. She responded very well to antituberculous treatment with complete healing at follow-up visits. To the best of our knowledge this is the first case report of osteitis of the radius following Bacillus Calmette–Guérin vaccination described from Sudan.ConclusionsBacillus Calmette–Guérin osteitis, although rare, should be considered a possible complication of the Bacillus Calmette–Guérin vaccination, and early diagnosis and treatment are essential.

show abstract

“…The delay in diagnosis is because of minimal initial symptoms, rarity of the lesion and ability of wrist TB to mimic more common pathologies [5]. Late diagnosis may result in bone damage and major morbidity [7]. Even after treatment, many patients have to continue with stiffness and pain [8].…”

mentioning

confidence: 99%

A prospective Study on Wrist Tuberculosis: Challenges in Diagnosis and Management

Shah

2019

GJOR

View full text Add to dashboard Cite

Musculoskeletal Tuberculosis (TB) is the third most frequent site of extrapulmonary tuberculosis after the pleura and lymph nodes [1]. Although musculoskeletal TB has become uncommon in the Western world, it remains a huge problem in Asia, Africa, and many developing countries [2]. One third of TB cases worldwide are reported from south-east Asia [3].Mycobacterium tuberculosis can infect any bone, joint, tendon, or bursa. TB of peripheral joints occur infrequently, but if untreated, it can cause serious joint destruction as well as spread of the infection to the surrounding bursa, muscles, tendons and other soft tissues [4]. The reported incidence of wrist TB is less than 1% of all osteoarticular TB [5]. Although rare, TB of the wrist is a cause of major morbidity [5,6]. The diagnosis of wrist TB is mostly missed. The delay in diagnosis is because of minimal initial symptoms, rarity of the lesion and ability of wrist TB to mimic more common pathologies [5]. Late diagnosis may result in bone damage and major morbidity [7]. Even after treatment, many patients have to continue with stiffness and pain [8]. Early diagnosis of bone and joint disease is important to minimize the risk of deformity and enhance outcome [1]. Materials and MethodsA total of 28 patients with tubercular arthritis of wrist, presented to Janakpur Trauma Hospital between January 2013 and January 2018. Of the 28 patients, six were with follow up less than 18 months and, were excluded from our study. In total, 22 patients were enrolled in this study. Patients presenting with problems of swelling and monoarticular pain of the wrist were enrolled in this study. Appropriate history was taken, and examination was done.

show abstract

Tuberculosis of the wrist in children: A rare manifestation

Cited by 5 publications

References 0 publications

Wrist swelling – Is it tuberculosis?

Wrist swelling – Is it tuberculosis?

Osteitis of the radius following Bacillus Calmette–Guérin vaccination at birth: a case report

A prospective Study on Wrist Tuberculosis: Challenges in Diagnosis and Management

Contact Info

Product

Resources

About