Tuberculosis of the elbow joint

Sagoo, Ravjit; Lakdawala, A.; Subbu, Rajiv

doi:10.1258/shorts.2011.010130

Cited by 8 publications

(13 citation statements)

References 6 publications

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“…Wares et al, mention that in spinal cases, constitutional symptoms commonly precede local symptoms. X-ray features have been found to be non-specific [1,13]. A high index of clinical suspicion is necessary [2,13,15] and in the series by Enache et al, 26% were clinically suspected of BJTB [8].…”

Section: Discussionmentioning

confidence: 99%

“…Raised ESR has been observed [17,12,13], but it is neither specific nor reliable [1]. Mantoux has limited role in adults in high prevalence area but can be useful in children under 5 years [14].…”

Section: Discussionmentioning

confidence: 99%

“…In the series by Muangchan and Nilganuwong diagnosis by biopsy was done in 46.5% of cases [11]. In the case of elbow joint TB reported by Sagoo et al, when initial steroid treatment did not bring complete relief, a synovial biopsy with debridement was done (along with smear, culture and PCR) [13].…”

Section: Discussionmentioning

confidence: 99%

“…Musculoskeletal TB has been infrequently reported especially in developed world [13]. We retrospectively reviewed all the cases of osteoarticular tuberculosis and focused the study on clinicaomorphological features and response of the patients to ATT.…”

Section: Introductionmentioning

confidence: 99%

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Osteoarticular Tuberculosis-A Three Years’ Retrospective Study

Arathi¹

2013

JCDR

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Introduction: Extra pulmonary TB can be encountered in various organ systems, like lymph nodes, serous cavities, genitourinary tract, skeletal. Musculoskeletal TB can cause significant functional impairment. The clinical symptoms are variable, pain and swelling being common symptomatology. Investigations for suspected cases include radiological imaging, histopathological examination, bacteriological examination, and polymerase chain reaction.The mainstay of treatment is multidrug antitubercular chemotherapy. Aim:To study the cases of osteoarticular TB diagnosed on biopsy, to analyse the various microscopic patterns, results of microbiological investigations, correlate the clinical and radiological features and the response to ATT. Setting and Designs:A teaching tertiary medical institute in North India in catchment area, where prevalence of tuberculosis is high. A retrospective study of cases with a biopsy diagnosis of bone and/joint TB, retrieved from Histopathology section of Department of Pathology of the tertiary institute. Material and Methods:The study was retrospective and the data was collected for the preceding 3 years. The cases were retrieved from the records of the department of Pathology. A total of 16 cases were diagnosed as/suspected to be tuberculosis of bones and/joints. The clinical information were noted from the case files. Results of laboratory investigations along with relevant microbiologic investigations were noted. The biopsy samples were processed according to protocol. Ziehl-Neelsen stain to detect tubercle bacilli and PAS stain to rule out fungal infection were done. Microscopic features were noted. Results and Conclusion:Sixteen cases with a diagnosis of bone and/joint tuberculosis were found. The average age was 23.6 years. The most common presentation was pain and swelling. Knee joint was most commonly involved (7 cases) followed by spine and ankle (3 each). All the cases showed epithelioid granulomas which was necrotising in 11. AFB positivity was found only in 4 cases. ATT was started in 12 cases with a good response.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Osteoarticular Tuberculosis-A Three Years’ Retrospective Study

Arathi¹

2013

JCDR

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“…Osteoarticular tuberculosis is difficult to clinically diagnose (3,5,7,8). The most important steps in the diagnosis of tuberculosis are clinical suspicion and good history.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous arthritis of the elbow joint: A case report

et al. 2016

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Tuberculous arthritis of the elbow joint is rare. A 57-year-old male patient presented with swelling, pain, and redness of the elbow. The symptoms first appeared one month ago; he was given antibiotic treatment after the diagnosis of septic arthritis at another center. The patient who did not improve with treatment was diagnosed with tuberculous arthritis according to the culture and was started on antituberculosis treatment. Tuberculous arthritis usually presents with chronic arthritis. However, it can also present in patients with septic arthritis.

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