Tuberculous versus Pyogenic Arthritis: MR Imaging Evaluation

Hong, Sung Hwan; Kim, Sung Moon; Ahn, Joong Mo; Chung, Hye Won; Shin, Myung Jin; Kang, Heung Sik

doi:10.1148/radiology.218.3.r01fe27848

Cited by 95 publications

(56 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This increased thickness was asymmetrical and it was most prominent in the medial and lateral aspects of the head with almost no thickening superiorly. These similar findings were also seen by Jaramillo D et al 12 (In 59% of cases) and by Rush BH et al 13 (In 70% of cases). There were two cases of slipped capital femoral epiphysis out of which both show slip of epiphysis and one show oedema involving the epiphysis.…”

Section: Abscess Wallsupporting

confidence: 85%

Imaging of Hip Joint Pathologies

Dutta¹,

N²,

Shahare³

et al. 2016

jemds

View full text Add to dashboard Cite

The hip joint is a large and complex articulation and can be involved by numerous pathologic conditions like congenital and developmental, infective, arthritic, and neoplastic. Early diagnosis and characterisation of pathology has vital role in proper management and follow up of the disease for the clinicians. Present study was conducted in 45 patients who underwent clinical, radiological, and pathological examination in GMCH. Maximum no of patient between age group of 10-30 yrs. male-female ratio was 1.8:1 and 30% cases are unilateral. FSE STAIR images were most useful in delineating pathologies. Gadolinium-enhanced scan were used to evaluate the extent of the disease and the pattern of involvement. AVN was the most common pathology detected comprising 29%. The next common abnormality detected was infective arthritis found in 26% of cases. In case of Legg-Calve-Perthes disease, there was abnormal linear increase in the signal intensity at junction of the epiphyseal cartilage. Ultrasonography is useful for the screening of paediatric hip cases and also for guided aspiration for histopathology. CT scan shows better resolution of soft tissue then the radiograph. The importance of early diagnosis can be gauzed from the fact that early initiation of treatment creates the difference between a responsible, worthwhile life, and a cripple handicapped life. The role of imaging can never be undermined considering the fact that early suspicion and detection is within the realms of imaging.

show abstract

Section: Abscess Wallsupporting

confidence: 85%

Imaging of Hip Joint Pathologies

Dutta¹,

N²,

Shahare³

et al. 2016

jemds

View full text Add to dashboard Cite

show abstract

“…This tubercular excavation is distinct from the fronts of resorption noted in erosive spondyloarthropathy, which actually disrupt the joint (subchondral) surface (Rothschild and Martin 1993;Rothschild and Woods 1991). Zones (rather than fronts) of resorption have been related to tuberculosis in humans (Hershkovitz et al 1998;Hong et al 2001;Rothschild and Martin 1993) and documented as Mycobacterium tuberculosis by DNA extraction in Pleistocene bison (Rothschild et al 2001). The characteristic erosions of tuberculosis are also distinguishable from rheumatoid arthritis and spondyloarthropathy on the basis of location.…”

Section: Methodsmentioning

confidence: 93%

Hyperdisease in the late Pleistocene: validation of an early 20th century hypothesis

Rothschild

Laub

2006

Naturwissenschaften

View full text Add to dashboard Cite

The hypothesis of disease-related large mammal extinction has new support. A unique pathologic zone of resorption was first noticed in a Hiscock Mammut americanum metacarpal. The pathognomonic zone of resorption was present in fifty-nine (52%) of 113 skeletons with feet available for examination. Metacarpals and metatarsals were most commonly affected. Associated rib periosteal reaction is highly suggestive of tuberculosis and the foot lesions were identical to that documented in Bison as pathognomonic for tuberculosis. Recognizing that only a portion of animals infected by infectious tuberculosis develop bone involvement, the high frequency of the pathology in M. americanum suggests that tuberculosis was not simply endemic, but actually pandemic, a hyperdisease. Pandemic tuberculosis was one of several probable factors contributing to mastodon extinction.

show abstract

“…However, MR showed features of marrow edema, subchondral bone involvement and joint effusion and together with clinical and lab investigations a definite diagnosis could be reached. Jung AH et al [10] and Sung Hwan Hong et al [11] in their studies on MR imaging features of inflammatory and infective conditions of the hip joint have described similar features that differentiate tubercular from pyogenic and rheumatoid arthritis.Midiri M et al [12] in their study of patients with infective conditions found that MR findings in this group are usually non specific but when put together with clinical and laboratory findings allows early and specific diagnosis, an observation similar to our study. The next common etiology of hip pain in our study was osteoarthritis (9 cases).…”

Section: Discussionmentioning

confidence: 95%