Tuberculosis of the entheses

Narang, Sagar

doi:10.1007/s00264-012-1657-8

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…Stage I, or the synovitis stage, presents with soft tissue swelling, no bony lesions, and localized osteoporosis, and the outcome after treatment is excellent. Stage II is early arthritis with marginal erosions (one or more erosions or lytic lesions in the bone; discrete diminution of the joint space), and the outcome is good, with only mild stiffness [6]. Stage III is advanced arthritis with subperichondrial cyst formation and loss of joint space; the outcome is fair, with notable loss of motion [6].…”

Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%

“…Stage II is early arthritis with marginal erosions (one or more erosions or lytic lesions in the bone; discrete diminution of the joint space), and the outcome is good, with only mild stiffness [6]. Stage III is advanced arthritis with subperichondrial cyst formation and loss of joint space; the outcome is fair, with notable loss of motion [6]. Stage IV is more advanced arthritis with joint destruction and no motion at the joint after treatment.…”

Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%

“…Radiology: Radiographic features are usually noted 2 to 5 months after disease onset [7]. The classical triad of radiologic characteristics of TB tenosynovitis and arthritis is juxta-articular osteoporosis, peripheral osseous erosion and gradual narrowing of the intra-articular space (Figure 1) [6,54,55]. In contrast to rheumatoid arthritis, the joint space is relatively preserved in early TB arthritis.…”

Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%

“…Imaging: Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are helpful in further defining the disease (Figure 2) [6,56]. MRI defines soft tissues better, while CT is good for bony lesions.…”

Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%

“…Specific skeletal involvement is observed in 1% to 3% of patients with TB [4]. Among them, approximately one-half of cases show spinal involvement, and the remaining involve the extraspinal osteoarticular joint [5][6][7]. TB tenosynovitis and arthritis is usually monoarticular, and the organism can be isolated from the joint [8].…”

Section: Introductionmentioning

confidence: 99%

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Updated Diagnosis and Management of Osteoarticular Tuberculo

Chen¹

2014

ETS

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Background Tuberculosis (TB) of the osteoarticular system usually manifests as osteomyelitis and joint arthritis. The diagnosis of TB arthritis is often delayed due to the lack of awareness, insidious onset, lack of characteristic early radiographic findings and, often, lack of constitutional or pulmonary involvement. The purpose of this review is to provide an update on the diagnostic and therapeutic recommendations for TB arthritis. Methods The literature from a range of sources was reviewed and synthesized to provide an overview of contemporary approaches for the diagnosis and management of TB arthritis. Results This review summarizes the clinical, radiological, bacteriological, immunological, synovial fluid examination, and synovial biopsy approaches used in the diagnosis of TB arthritis. We also summarize the updated guideline for the treatment of TB arthritis. Conclusion Intense current and previous efforts into diagnostic, therapeutic, and preventive interventions have focused on pulmonary TB in adults, but TB arthritis has been relatively neglected. The development of better diagnostic and therapeutic methods for TB arthritis remains a significant challenge. As the strategies for the diagnosis and management of TB arthritis improve and the knowledge base increases, the implementation of these strategies will be crucial.

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Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%

Section: Diagnosis Of Tuberculosis Tenosynovitis and Arthritismentioning

confidence: 99%