Imaging Features of Extraspinal Osteoarticular Tuberculosis and its Mimickers: A Review

Venkat, Bargavee; Aggarwal, Vineet; Aggarwal, Neeti; Sharma, Sanjiv

doi:10.7860/jcdr/2018/32131.11815

Cited by 7 publications

(11 citation statements)

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“…An ESR > 40 mm h −1 should also raise suspicion (Mariconda et al, 2007;Huang et al, 2007;Dhillon and Nagi, 2002;Zeng et al, 2015). Imaging modalities, including routine radiography, ultrasound, CT and MRI, are useful adjuncts to the clinical work-up (Venkat et al, 2018). With these clinical findings being relatively non-specific, it is important to confirm the clinical suspicion of TB with an accurate and reliable diagnostic test.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous arthritis of native joints – a systematic review and European Bone and Joint Infection Society workgroup report

Marais,

Nieuwoudt,

Nansook

et al. 2023

J. Bone Joint Infect.

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Abstract. Introduction: The aim of this systematic review was to assess the existing published data on the diagnosis and management of tuberculosis (TB) arthritis involving native joints in adults aged 18 years and older. Methods: This study was performed in accordance with the guidelines provided in the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). Results: The systematic review of the literature yielded 20 data sources involving 573 patients from nine countries. There was considerable variation amongst the studies in terms of the approach to diagnosis and management. The diagnosis was mostly made by microbiological tissue culture. Medical management involved a median of 12 months of anti-tubercular treatment (interquartile range, IQR, of 8–16; range of 4–18 months). The duration of preoperative treatment ranged from 2 to 12 weeks. Surgery was performed on 87 % of patients and varied from arthroscopic debridement to complete synovectomies combined with total joint arthroplasty. The mean follow-up time of all studies was 26 months (range of 3–112 months). Recurrence rates were reported in most studies, with an overall average recurrence rate of approximately 7.4 % (35 of 475 cases). Conclusions: The current literature on TB arthritis highlights the need for the establishment of standardized guidelines for the confirmation of the diagnosis. Further research is needed to define the optimal approach to medical and surgical treatment. The role of early debridement in active TB arthritis needs to be explored further. Specifically, comparative studies are required to address questions around the use of medical treatment alone vs. in combination with surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Tuberculous arthritis of native joints – a systematic review and European Bone and Joint Infection Society workgroup report

Marais,

Nieuwoudt,

Nansook

et al. 2023

J. Bone Joint Infect.

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“…2 Musculoskeletal TB demonstrates a variety of clinical and radiologic features and can mimic several other disease entities. 15 Common conditions in the differential diagnosis are low-grade pyogenic infection, rheumatoid disease, myeloma or secondary metastatic deposits. Most of our patients were suspected to have a clinical diagnosis other than TB, reiterating the fact that TB is the great masquerader.…”

Section: Soft Tissue Tumourmentioning

confidence: 99%

Tuberculosis, a great masquerader: A case series unveiling rare sites of musculoskeletal involvement through imaging

et al. 2020

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Skeletal tubercular infections that do not involve the spine or large joints are rarely encountered. This case series aims to highlight the importance of imaging in diagnosing skeletal tuberculosis (TB) at uncommon sites in clinically unsuspected patients by demonstrating specific imaging findings. We present the clinical details and imaging findings of seven pathologically confirmed cases of extraspinal skeletal TB. A multimodality imaging approach including radiography, ultrasonography (USG) and computed tomography (CT) scan was used in most cases. The imaging studies revealed an infective soft tissue collection over different sites including the sternoclavicular joint, acromion process, chest wall and temporo-mandibular joint, along with destruction and erosion of the underlying or adjacent bones. In tubercular endemic countries, strong clinical suspicion should be entertained in cases presenting with a soft tissue collection, even around unusual skeletal sites.

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“… 2 Intercurrent active pulmonary TB is only seen in about one-half of the patients. 3 The first step in diagnosing musculoskeletal TB is usually a radiological evaluation. We report the case of a 36-year-old man who presented for a thoracic computed tomography (CT) scan with fever, night sweats, and blood-streaked sputum associated with diffuse back pain.…”

Section: Introductionmentioning

confidence: 99%

Spine tuberculosis with an intercurrent active pulmonary location in a high incidence country: A rare case report

El Harras,

Imrani,

Faraj

et al. 2024

SAGE Open Medical Case Reports

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Spinal tuberculosis usually presents as destroyed contiguous vertebral bodies associated with intervertebral discs and paravertebral or psoas abscesses. Atypical forms are uncommonly reported. Vertebral involvement without disk destruction is a rare form that improves satisfactorily after appropriate medical management. We report the case of a 36-year-old male who had spine tuberculosis without disk involvement, associated with intercurrent active pulmonary location with good clinical improvement after treatment and follow-up imaging showing spectacular regression of bone lesions. By reporting this case, we also review the literature on this rare form of tuberculosis.

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Imaging Features of Extraspinal Osteoarticular Tuberculosis and its Mimickers: A Review

Cited by 7 publications

References 0 publications

Tuberculous arthritis of native joints – a systematic review and European Bone and Joint Infection Society workgroup report

Tuberculous arthritis of native joints – a systematic review and European Bone and Joint Infection Society workgroup report

Tuberculosis, a great masquerader: A case series unveiling rare sites of musculoskeletal involvement through imaging

Spine tuberculosis with an intercurrent active pulmonary location in a high incidence country: A rare case report

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