TB arthritis

Pasion, Ellewellyn G.; Leung, J.P.

doi:10.1054/cuor.2000.0106

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…En el caso presentado, queda en discusión el origen de la artritis tuberculosa, con fuerte sospecha de tratarse de una TBOA primaria. Posiblemente por inoculación directa del germen en piel erosionada (10) , considerando el antecedente traumático y radiografías sin signos de TB pulmonar activa o residual. El paciente negó síntomas, diagnóstico o tratamiento previos de tuberculosis pulmonar; alejando la posibilidad de una reactivación de tuberculosis latente.…”

Section: Discussionunclassified

Insuficiencia cardiaca por mixoma auricular izquierdo gigante: reporte de un caso

2017

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RESUMENSe presenta el caso de un varón de 36 años, procedente de Ancash, Perú, quien acude a un hospital de su localidad por dolor articular en rodilla derecha de tres años de evolución. No se consigue diagnosticar al paciente en dicho hospital y meses después acude al Hospital Nacional Dos de Mayo en la capital, donde posterior al hallazgo de un proceso inflamatorio granulomatoso en una biopsia ósea se inicia una evaluación y tratamiento para tuberculosis osteoarticular, diagnóstico que será posteriormente confirmado por cultivo positivo de líquido sinovial tras un tiempo de enfermedad de más de 45 meses. La presentación atípica, la ausencia de un foco primario y dificultad diagnóstica, en un país donde la tuberculosis es aún endémica, motivaron su descripción para su publicación.Palabras clave: Tuberculosis osteoarticular; rodilla; artritis infecciosa. Case report of osteoarticular tuberculosis: diagnostic difficulty and probable primary infection ABSTRACTWe report the case of a 36-year-old male from Ancash, Peru, who attended to a local hospital due to articular pain in the right knee for three years. Diagnosis was not reached in that hospital and months later he visited Hospital Nacional Dos de Mayo in the capital city, where evaluation and treatment for osteoarticular tuberculosis was started after finding a granulomatous inflammatory process in a bone biopsy. Such diagnosis was confirmed later by a positive culture of synovial fluid after a more than 45-month disease period. The atypical presentation, absence of a primary site and diagnostic difficulty of the disease in a country where tuberculosis is still endemic encouraged the publication of this case report.

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Section: Discussionunclassified

Insuficiencia cardiaca por mixoma auricular izquierdo gigante: reporte de un caso

2017

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“…Amongst the patients with extra pulmonary TB, 1-8% of them have osseous disease with vertebral involvement in 30-50% of these patients. Furthermore, approximately 50% of these patients with osseous disease also have pulmonary disease [2].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of HIVInfection inPatients with TBSpine Admitted to the University Teaching Hospital, Lusaka, Zambia

Shumba¹

2021

JPRM

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Background: Extra pulmonary TB is an AIDS defining opportunistic infection in patients with HIV infection. TB spine is the commonest form of bone TB and whose clinical picture depends on the site and the presence of HIV infectionMethod: This was a retrospective review of patient records (n=101) over a two-year period (2008-2010) at the University Teaching Hospital, Lusaka, Zambia. Clinical and radiological features, laboratory data were analyzed Results: One hundred and one patients (57 male: 44 female) had TB spine in this period. The mean age was 37.22 ± 14.29 years. The main presenting complaint was backache in 71(70.3%) patients and the mean duration of symptoms was 2.68 ± 1.23 months. The Gibbus was present in 77 (76.24%) of the patients while neurological deficit was identified in 32 (31.6%) patients. The lumbar spine the most affected in 64(63.4%) patients. The mean ESR was determined to be 59.43 ± 32.23 mm/hour. The prevalence rate of HIV infection in the patients with TB spine was 24.8 %. The average CD4 count was found to be 262± 121.3 cells/μl.Conclusion: The prevalence rate of HIV infection (24.8%) is higher than that obtaining in the Zambian general population (13.7%) but lower than the general prevalence of HIV infection in patients with TB (68%).

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“…The goal to end the global TB epidemic by 2030 was committed to by all the United Nations Member States; however, because of the economic, literacy, medical, and transportation limitations in some areas, realizing this goal still requires international efforts. Except for pulmonary TB, morbidity from TB is the highest in the skeletal system, for which knee joint TB ranks second only to that of the spine (50%) and close to that of the hip joint (10%) [3,4]. Early synovial TB or bone TB of the knee joint can be treated by anti-TB drugs, joint cavity cleaning, and thorough debridement; these are often associated with good outcomes [5,6].…”

Section: Introductionmentioning

confidence: 99%

Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee

Sun¹,

Li²,

Gao³

et al. 2020

BMC Musculoskelet Disord

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Background: With the global determination to eliminate tuberculosis (TB), the treatment for end-stage TB of the knee joint is still a great clinical challenge. This study aims to retrospectively determine the clinical and radiographic outcomes after use of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage knee TB. Methods: Twenty-six patients with end-stage knee TB treated by external fixation with the Ilizarov fixator between 2012 and 2017 were examined. Anti-TB drugs were administered preoperatively, intraoperatively, and postoperatively. Clinical and radiologic examinations were performed for comprehensive evaluations, and these include C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), flexion and valgus angle of the knee, leglength discrepancy, and Lysholm score. Results: Twenty-four patients were followed up for an average of 5.8 years (2.2-7 years). All patients achieved bone fusion within a mean of 6.4 months (4-16 months). The ESR and CRP concentrations were observed to return to normal within 5.1 ± 1.1 months postoperatively. There was no recurrence of TB. At last follow-up, the mean leglength discrepancy was 2.7 ± 1.4 cm, and the mean alignment was 8.7 ± 2.6°flexion and 5.3 ± 1.0°valgus. No patient had a significant rotational deformity. The average Lysholm score was seen to improve significantly from 36.8 ± 18.4 preoperatively to 79.5 ± 5.9 at final follow-up (p < 0.0001). Conclusion: This study has demonstrated that the Ilizarov technique for knee joint arthrodesis as a treatment of end-stage knee TB achieved promising outcomes with minimal complications.

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TB arthritis

Cited by 4 publications

References 7 publications

Insuficiencia cardiaca por mixoma auricular izquierdo gigante: reporte de un caso

Insuficiencia cardiaca por mixoma auricular izquierdo gigante: reporte de un caso

Prevalence of HIVInfection inPatients with TBSpine Admitted to the University Teaching Hospital, Lusaka, Zambia

Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee

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