15 ???Cystic??? Tuberculosis of Bone

Edeiken, Jack; Depalma, Anthony F.; Moskowitz, Harold; Smythe, Vernon

doi:10.1097/00003086-196300280-00016

Cited by 4 publications

(4 citation statements)

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“… 8 Infections usually occur at the metaphysis of the bone, while diaphyseal lesions are uncommon. 9 Sclerosis may progress over time in some cases, but it is not a frequent symptom, except during the healing process. 10 The radiographic feature of the cystic expansion of short tubular bones has led to the name of Spina Ventosa being assigned to tuberculous dactylitis of the short bones of the hand.…”

Section: Discussionmentioning

confidence: 99%

Late Discovering Spina Ventosa: A Case Report

Ngoc¹,

Thai²,

Van³

et al. 2021

IMCRJ

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Introduction: Spina Ventosa is a rare condition that is easy to misdiagnose as other diseases. We present a case of late-diagnosed Spina Ventosa, which had not only the osteoarticular tuberculosis symptoms but also some severe symptoms, including pleural effusion, ascites, and anemia. By intensive treatment, our patient recovered completely. Case Report: A 7-year-old boy was admitted with complaints of painless swelling of metacarpals, metatarsals, and phalanges of his hands and feet and a discharging sinus of the left toe. There was no family or past history of tuberculosis. His immunizations were up to date. General examination revealed that the child had pallor and was emaciated. No lymphadenopathy was detected. Investigations revealed hemoglobin: 74 g/l, and erythrocyte sedimentation rate (ESR) was 42 mm/hour. QuantiFERON-TB test was positive. The radiograph showed irregular swelling with sclerosis of the underlying bones. The right-hand x-ray showed cortical destruction, sclerosis, and cystic expansion or right second metacarpal. Chest x-ray indicated pleural effusion. Histopathological examination of specimen from the foot and lung and abdomen fluid confirmed tuberculosis. The child was treated with the first-line tuberculosis treatment regimen (Isoniazid, Rifampicin, Ethambutol, and Pyrazinamide) for two months, followed by Isoniazid, Rifampicin, and Pyrazinamide for a further four months. His lesions disappeared after six weeks of intensive treatment. Conclusion:A delay in diagnosis and treatment of tuberculosis can lead to systemic manifestations in multiple organs. Despite the delay in diagnosis, this child had a good outcome due to being treated promptly and adequately after the presentation.

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Section: Discussionmentioning

confidence: 99%

Late Discovering Spina Ventosa: A Case Report

Ngoc¹,

Thai²,

Van³

et al. 2021

IMCRJ

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“…Tuberculosis of the musculoskeletal system is generally the result of hematogenous dissemination, with lung serving as a primary focus in 75 percent of the patients (Edeiken et al 1963, Shannon et al 1990). Half of the adults with skeletal tuberculosis have involvement of the spine (Shannon et al 1990), and a cold abscess detected in the thigh originates from the lumbar vertebrae (Tachdjian 1990).…”

Section: Discussionmentioning

confidence: 99%

Giant tuberculous abscess without primary focus identified

Seber

Göktürk

Günal

1993

Acta Orthopaedica Scandinavica

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“…Multiple or solitary bone lesions may be seen. [ 17 26 ] The metaphysis is the most frequent site of involvement but in rare cases the diaphysis may also be affected.…”

Section: Imagingmentioning

confidence: 99%

Imaging features of extraaxial musculoskeletal tuberculosis

Vanhoenacker

Sanghvi

Backer³

2009

Indian Journal of Radiology and Imaging

114

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Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. TB can involve pulmonary as well as extrapulmonary sites. The musculoskeletal system is involved in 1–3% of patients with tuberculosis. Although musculoskeletal TB has become uncommon in the Western world, it remains a huge problem in Asia, Africa, and many developing countries. Tuberculous spondylitis is the most common form of musculoskeletal TB and accounts for approximately 50% of cases. Extraspinal musculoskeletal TB shows a predilection for large joints (hip and knee) and para-articular areas; isolated soft tissue TB is extremely rare. Early diagnosis and prompt treatment are mandatory to prevent serious destruction of joints and skeletal deformity. However, due to the nonspecific and often indolent clinical presentation, the diagnosis may be delayed. Radiological assessment is often the first step in the diagnostic workup of patients with musculoskeletal TB and further investigations are decided by the findings on radiography. Both the radiologist and the clinician should be aware of the possibility of this diagnosis. In this manuscript we review the imaging features of extraspinal bone, joint, and soft tissue TB.

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15 ???Cystic??? Tuberculosis of Bone

Cited by 4 publications

References 0 publications

Late Discovering Spina Ventosa: A Case Report

Late Discovering Spina Ventosa: A Case Report

Giant tuberculous abscess without primary focus identified

Imaging features of extraaxial musculoskeletal tuberculosis

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