Tuberculous Arthritis: A Review of 27 Cases

Al-Saleh, Salman S.; Al-Arfaj, Abdurahman; Naddaf, Hassan; Haddad, Quais; Memish, Ziad A.

doi:10.5144/0256-4947.1998.368

Cited by 27 publications

(33 citation statements)

References 14 publications

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“…The different severity levels between this and previous studies may be due to the presence of nonspecific symptoms of spinal TB in the elderly and a delay in diagnosis. Analogous to other reports [3,13], the percentage of combined spinal and pulmonary TB was 25.7% in this study. Similar to other results [2,3], the thoracic and lumbar spines were nearly equally affected and contributed 90.3% of the spinal regions.…”

Section: Discussionsupporting

confidence: 77%

Characteristics of patients with spinal tuberculosis: seven-year experience of a teaching hospital in Southwest China

Wang

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the characteristics of patients managed for spinal tuberculosis at the orthopaedics department of a teaching hospital in Chongqing, China, between 2004 and 2010. Methods The study used a retrospective chart review. The epidemiology, clinical features, laboratory test results, imaging study findings, and treatment methods were recorded. Results The annual incidence of spinal tuberculosis was stable throughout the study period. There were 284 patients, 147 women and 137 men, with a mean age of 38.2 years. The majority of the lesions involved the thoracic spine (45.3%), followed by the lumbar spine (45.0%). Multiple level skip lesions were seen in 5.6% of cases. The erythrocyte sedimentation rate was normal in 26.8% of patients. The C-reactive protein (CRP) was normal in 30.2% of patients. Type A and type O were the most common blood types. Neurological involvement was seen in 21.8% of patients. Concomitant tuberculosis of the lung was seen in 73 (25.7%). The patients with middle school education and above account for 60.4% (102/169) in rural patients and 68.7% (79/115) in urban patients. Mean time from symptom onset to diagnosis was 18.0 months (range, three days to 360 months), and there was a significant difference between the rural patients (23.0 months) and the urban patients (10.7 months) (p00.001, t 0 −3.300). Surgical treatment was performed in 233 patients (82.0%). The preferred surgical procedure was radical anterior debridement, bone grafting and internal fixation (132 patients, 46.5%). There were 13 patients (4.2%) with anti-tuberculous chemotherapy drug allergy or toxicity, streptomycin anaphylaxis and toxicity in 12, and isoniazide anaphylaxis and toxicity in one. No mortality was related to spinal TB. Conclusion The annual incidence of spinal tuberculosis remained unchanged throughout the study period and most of the patients did not pay much attention to the disease and received timely treatment. Thus, we should strengthen the census and treatment of spinal tuberculosis in Southwest China.

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Section: Discussionsupporting

confidence: 77%

Characteristics of patients with spinal tuberculosis: seven-year experience of a teaching hospital in Southwest China

Wang

et al. 2012

International Orthopaedics (SICOT)

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“…A relativa raridade da tuberculose articular e, em especial, do ombro, é um dos fatores que contribui para a habitual demora no diagnóstico da condição. Além disso, os sintomas e sinais são inespecíficos e o quadro clínico costuma ser arrastado, evoluindo gradualmente ao longo de vários meses (7,8,(18)(19)(20)(21)(22)(23) . O tempo decorrido entre o surgimento dos sintomas e o início do tratamento pode chegar a um ano (8,17) .…”

Section: Discussionunclassified

“…De fato, nenhum caso de tendinite tuberculosa bicipital isolada foi encontrado durante a revisão bibliográfica feita para a confecção deste relato, embora muitos autores tenham reportado outras localizações atípicas (19,20,28,29,(31)(32)(33)(34) . Apenas um terço dos pacientes com tuberculose musculoesquelética tem histó-ria de doença pulmonar (4) , embora a presença de achados compatíveis com tuberculose antiga seja usual em exames de imagem (radiografia de tórax e tomografia computadorizada) (7,23) . Nosso paciente, embora negasse passado de doença pulmonar, apresentava, à tomografia computadorizada, alterações cicatriciais no ápice do pulmão direito, compatíveis com tuberculose pulmonar antiga.…”

Section: Discussionunclassified

“…O comprometimento ósseo é predominante e a coluna vertebral é a região mais frequentemente acometida (6) . O envolvimento articular é ainda menos usual e, em 50 a 73%, ocorre nas articulações de carga, como quadril e joelho (7)(8)(9) . O ombro raramente é acometido (6,7) .…”

Section: Introductionunclassified

“…O envolvimento articular é ainda menos usual e, em 50 a 73%, ocorre nas articulações de carga, como quadril e joelho (7)(8)(9) . O ombro raramente é acometido (6,7) . Relatamos um caso de tuberculose disseminada, em paciente imunocompetente, com acometimento musculoesquelético, envolvendo a articulação do ombro e, principalmente, a bainha do tendão bicipital.…”

Section: Introductionunclassified

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Tuberculose refratária disseminada com acometimento do tendão bicipital em paciente imunocompetente

Oliveira¹,

Schiefer²,

Silva³

et al. 2009

Rev. bras. ortop.

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RESUMOObjetivo: Relatar um caso raro de tuberculose disseminada em paciente imunocompetente, que evoluiu, durante o tratamento medicamentoso padrão, com envolvimento do tendão da porção longa do bíceps e da articulação do ombro. Métodos: À primeira avaliação, o diagnóstico correto não foi feito e o paciente foi tratado com fisioterapia para tendinopatia do manguito rotador. Entretanto, apresentou rápida formação de massa na região anterior do terço proximal do braço e piora da dor. A punção da massa revelou líquido amarelado, cuja análise laboratorial confirmou tratar-se de infecção por M. tuberculosis. Resultados: O paciente foi tratado com desbridamento cirúrgico e troca do esquema medicamentoso e evoluiu com resolução do quadro infeccioso e melhora completa da função do ombro direito. Conclusão: Devido a sua alta prevalência no Brasil, a tuberculose deve sempre ser considerada no diagnóstico diferencial dos casos de comprometimento crônico e progressivo das articulações, ossos, músculos, tendões e bursas, mesmo em indivíduos imunocompetentes. Descritores -

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Role of fine‐needle aspiration cytology and fluid cytology in extra‐pulmonary tuberculosis

Reddy

Narayana

Shariff

2012

Diagnostic Cytopathology

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Extra-pulmonary tuberculosis is the presence of disease in an organ without obvious involvement of the lungs (World Health Organization, Tuberculosis Fact sheet, 2006). The present article focuses on the incidence of extra-pulmonary tuberculosis as an emerging and clinically significant disease to be reckoned with in the present era. It also highlights fine-needle aspiration cytology (FNAC) as an inexpensive, less invasive procedure for early diagnosis of such tuberculosis and timely initiation of specific therapy. All cases of proved tuberculosis presenting to the M.V.J. Medical College and Research Hospital were recorded over a period of two years (2008-2010); and categorized as pulmonary and extra-pulmonary cases. A total of 96 cases of tuberculosis were observed; extra-pulmonary tuberculosis was seen in 64 cases. Of these 56 cases were from lymphnodes and 8 from extra-nodal sites which included tuberculous dactylitis (two cases), tuberculous mastitis (two cases), tuberculous synovial effusion (one case), pericardial effusion (one case), epididymo-orchitis (one case), and cold abscess (one case). The cytology patterns observed included granulomatous inflammation and necrosis with or without acid fast bacilli.

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Tuberculous Arthritis: A Review of 27 Cases

Cited by 27 publications

References 14 publications

Characteristics of patients with spinal tuberculosis: seven-year experience of a teaching hospital in Southwest China

Characteristics of patients with spinal tuberculosis: seven-year experience of a teaching hospital in Southwest China

Tuberculose refratária disseminada com acometimento do tendão bicipital em paciente imunocompetente

Role of fine‐needle aspiration cytology and fluid cytology in extra‐pulmonary tuberculosis

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