Carpal synovitis with capitate bone tuberculosis in a child

Grenho, André; Arcângelo, Joana; Jordão, Pedro; Gouveia, Catarina

doi:10.1136/bcr-2017-223459

Cited by 3 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Instrumented surgeries were only performed in 3 (23.1 %) patients: one had a total L1 collapse, instability and lumbar lordosis rectification, with lumbar canal stenosis; another had Frankel grade B neurological deficit and the goal was to achieve in situ fixation to prevent clinical deterioration; and the third had a two-vertebrae collapse and canal stenosis. The two patients with ESTB who were submitted to surgery were a 17-year-old boy born in Angola with a 2-month prosthetic hip infection that underwent spacer removal and debridement [17] and a 10-year-old boy with a chronic wrist effusion and capitate osteomyelitis, submitted to multiple drainages [16], both cases previously reported.…”

Section: Resultsmentioning

confidence: 99%

“…One (5.6 %) did not receive ethambutol and completed the triple ATT scheme and in three (16.7 %) isoniazid was replaced by levofloxacin due to isoniazid resistance (n=2, 11.1 %) or hepatic toxicity (n=1, 5.6 %). The two patients with ESTB who were submitted to surgery were a 17-year-old boy born in Angola with a 2-month prosthetic hip infection that underwent spacer removal and debridement [17] and a 10-year-old boy with a chronic wrist effusion and capitate osteomyelitis, submitted to multiple drainages [16], both cases previously reported.…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Bone and joint tuberculosis in paediatrics: a 13-year retrospective study

Gouveia

Cabral

Jordão

et al. 2022

Journal of Medical Microbiology

Self Cite

View full text Add to dashboard Cite

Introduction. Bone and joint tuberculosis (BJTB) is rare in developed countries, particularly in the paediatric population. Hypothesis/Gap Statement. The clinical features and sequelae of paediatric BJTB in Europe are not well characterized and should be assessed to achieve a better approach. Aim. To assess the management and outcomes of paediatric BJTB. Methodology. Longitudinal observational study of all paediatric patients (0–17 years old) diagnosed with BJTB between 2008 to 2020 in a tertiary-care hospital. Results. We identified 18 patients with BJTB, with a median age of 10 years (IQR 6–14.8), 66.7 % male. Most (72 %) were diagnosed after 2015 and were foreign-born (88.9 %), mainly from Portuguese-speaking African countries, and none had HIV. The most common symptoms were pain (77.8 %), fever (50 %) and bone deformity (44.4 %). Spinal TB (STB) affected 13 (72.2 %) and extra-spinal TB (ESTB) 9 (50 %) patients, and 4 (27.7 %) had both conditions. Diagnostic positive procedures included positive nucleic acid amplification technique (NAAT) (44.4 %), Mycobacterium tuberculosis isolation (44.4 %) and compatible histology (33.3 %). All completed antituberculous drugs for a median of 12 months (IQR 12–13) and nine (50 %) had surgery. Overall, acute complications occurred in 16 (88.9 %) patients – 11/13 (84.6 %) with STB and 5/5 (100 %) with ESTB – and included abscesses, spinal compression, spine deformity and pathological fractures. Sequelae were still present at the 12-month follow-up in seven cases (46.7 %), and were more common in foreign-born patients sent to Portugal to receive medical treatment (66.7 vs 20 %). Conclusions. Paediatric BJTB is difficult to diagnose and has high morbidity, requiring long-term follow-up. Over the last decade, foreign-born TB seems to be increasing, with still longer treatment courses and more acute complications and sequelae.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Bone and joint tuberculosis in paediatrics: a 13-year retrospective study

Gouveia

Cabral

Jordão

et al. 2022

Journal of Medical Microbiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Prakash and Mehtani [7] reported isolated involvement of the scaphoid bone. In 2018, Grenho et al [8] also reported isolated involvement of the capitate with carpal synovitis. All the abovementioned cases had restriction of wrist and hand function with involvement of the adjacent intercarpal joints.…”

Section: Discussionmentioning

confidence: 99%

“…Common sites of primary osseous focus are the os capitatum or distal end of the radius [2]. Very few cases have been reported of isolated involvement of a single bone or joint in the wrist or hand [3][4][5][6][7][8]. Isolated involvement of the hamate, in particular, is even rarer.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis of the Hand with Isolated Hamate Involvement: An Unusual Presentation

Kishan¹,

Kashyap²,

Kadur³

et al. 2019

Case Rep Orthop Res

View full text Add to dashboard Cite

Osteoarticular tuberculosis accounts for 1-5% of all tuberculosis cases, rarely involving the wrist or hand. Wrist and hand tuberculosis usually presents with multiple carpal bone involvement with impaired wrist and hand function. Isolated involvement of the carpal bone, particularly the hamate, is very rare. We report a 12-year-old female child with isolated hamate bone involvement without any limitation of wrist function. The patient was managed conservatively on antitubercular drugs. Such a case has not been reported in the past.

show abstract

“…Prakash reported a case with involvement of capitate in a 12-year-old boy who also healed with ATT given for 1 year and did not show recurrence at 18 months of follow-up 9. Grenho et al reported a similar case of capitate infection in a 10-year-old boy with good outcome 10…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Kumar¹,

Aggarwal

Rajnish

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

In an endemic zone of tuberculosis (TB), osseous involvement is a relatively common presentation. Spine and long bones are the the most common nidus of TB. Smaller bones and joints are relatively less involved. Thorough clinical examination and history of typical constitutional symptoms like weight loss, fever and loss of appetite are the diagnostic aids for initiating early treatment. Wrist and hand involvement is a rare occurrence and often presents atypically without any obvious symptoms or signs. This results in delayed diagnosis and worse outcome. TB of lunate without articular involvement is a very rare subset and we present such an isolated case of TB involving the lunate, without any typical symptoms, with the patient complaining of vague pain without any restriction of joint mobility. TB was diagnosed with the aid of radiology, haematology and histopathology. 18 months of multidrug antitubercular treatment was given, to which the patient responded well.

show abstract

Carpal synovitis with capitate bone tuberculosis in a child

Cited by 3 publications

References 14 publications

Bone and joint tuberculosis in paediatrics: a 13-year retrospective study

Bone and joint tuberculosis in paediatrics: a 13-year retrospective study

Tuberculosis of the Hand with Isolated Hamate Involvement: An Unusual Presentation

Tuberculosis of lunate as an isolated intraosseous osteolytic lesion in an adult: a diagnostic challenge

Contact Info

Product

Resources

About