Skeletal Tuberculosis Following Proximal Tibia Fracture

Meena, Sanjay; Rastogi, Devarshi; Barwar, Nilesh; Morey, Vivek Machhindra; Goyal, Navneet

doi:10.1177/1534734613479383

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Due to its rarity, elusive detection, and the need for prolonged antibiotic therapy, musculoskeletal tuberculosis presents a considerable challenge, frequently resulting in treatment failures [9]. Following lymph nodes, osteoarticular tuberculosis is the second most common extrapulmonary tuberculosis presentation, accounting for approximately 13% of cases [3,10]. The most commonly affected skeletal sites are the spine, followed by the hip, knee, and ankle joints.…”

Section: Introductionmentioning

confidence: 99%

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Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Singh¹,

Seth²,

Aiyappan³

et al. 2023

Cureus

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Tuberculosis is a well-known and ancient disease with a wide range of clinical presentations. Although tuberculosis is a well-known infectious disease, involvement of the symphysis pubis is rare, with only a few documented cases in the medical literature. Distinguishing it from other more common conditions, such as osteomyelitis of the pubic symphysis and osteitis pubis, is essential to avoid delay in diagnosis and to minimize morbidity, mortality, and complications. We present a rare case of tuberculosis of the symphysis pubis in an eight-year-old female from India who was initially misdiagnosed with osteomyelitis. Following the correct diagnosis and commencement of anti-tuberculosis chemotherapy, the patient demonstrated improvement in symptoms and hematological parameters at the three-month follow-up. This case emphasizes the importance of considering tuberculosis as a differential diagnosis in cases of symphysis pubis involvement, especially in areas with a high incidence of tuberculosis. Early diagnosis and appropriate treatment can prevent further complications and improve clinical outcomes.

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Section: Introductionmentioning

confidence: 99%

“…Following lymph nodes, osteoarticular tuberculosis is the second most common extrapulmonary tuberculosis presentation, accounting for approximately 13% of cases [ 3 , 10 ]. The most commonly affected skeletal sites are the spine, followed by the hip, knee, and ankle joints.…”

Section: Introductionmentioning

confidence: 99%

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Singh¹,

Seth²,

Aiyappan³

et al. 2023

Cureus

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Labial swelling: a rare presentation of pubic bone tuberculosis

et al. 2016

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Tuberculosis (TB), being a global health problem, represents variedly. Its presentation as a labial swelling secondary to pubic bone TB has been reported rarely in literature. We report a case of pubic bone TB presenting as a labial swelling in a woman of reproductive age. Early diagnosis with fine needle aspiration cytology, acid-fast bacillus (AFB) staining, AFB culture and magnetic resonance imaging with early initiation of treatment resulted in a favourable outcome.

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Implant-associated mycobacterium tuberculosis infection following surgical management of fractures

Mahale

Aga

2015

The Bone & Joint Journal

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In this retrospective observational cohort study, we describe 17 patients out of 1775 treated for various fractures who developed mycobacterium tuberculosis (MTB) infection after surgery. The cohort comprised 15 men and two women with a mean age of 40 years (24 to 70). A total of ten fractures were open and seven were closed. Of these, seven patients underwent intramedullary nailing of a fracture of the long bone, seven had fractures fixed with plates, two with Kirschner-wires and screws, and one had a hemiarthroplasty of the hip with an Austin Moore prosthesis. All patients were followed-up for two years. In all patients, the infection resolved, and in 14 the fractures united. Nonunion was seen in two patients one of whom underwent two-stage total hip arthroplasty (THA) and the other patient was treated using excision arthoplasty. Another patient was treated using two-stage THA. With only sporadic case reports in the literature, MTB infection is rarely clinically suspected, even in underdeveloped and developing countries, where pulmonary and other forms of TB are endemic. In developed countries there is also an increased incidence among immunocompromised patients. In this paper we discuss the pathogenesis and incidence of MTB infection after surgical management of fractures and suggest protocols for early diagnosis and management.

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Skeletal Tuberculosis Following Proximal Tibia Fracture

Cited by 4 publications

References 4 publications

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Labial swelling: a rare presentation of pubic bone tuberculosis

Implant-associated mycobacterium tuberculosis infection following surgical management of fractures

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