Tuberculous Arthritis of the Ankle

Rando, Maria Margherita; Matteis, Giuseppe De; Gessi, Marco; Bartoli, Matteo; Galli, Marco; Gambassi, Giovanni

doi:10.12890/2018_000870

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…The literature revealed that hematological findings for musculoskeletal TB usually show decreased hemoglobin, mild lymphocytosis, and high ESR (erythrocyte sedimentation rate) [ 18 , 19 ]. The first detected change in plain radiography is peripheral marginal erosion of the joint.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Arthritis of the Ankle Joint Mimicking Pigmented Villonodular Synovitis

Alrefeidi¹,

Alahmari²

2021

Cureus

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Osteoarticular tuberculosis (TB) of the ankle joint is rare, and there is a delay in diagnosis in most cases. All patients with the disease complained of swelling and pain in the affected ankle. Ankle TB is a disorder that can be simply misdiagnosed. The delay in diagnosis may range from months up to years. All patients in this series had already been diagnosed with ankle TB by the time they visited our hospital. The current case was reported in a middle-aged male nurse with ankle pain, ulcer, and limited range of movement. The classical clinical manifestations of TB were absent on free chest radiography. Ulcer biopsy showed TB infection with no lymph nodes. Nonspecific inflammation was initially treated, but, subsequently, anti-TB treatment was useful.

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Section: Discussionmentioning

confidence: 99%

Tuberculous Arthritis of the Ankle Joint Mimicking Pigmented Villonodular Synovitis

Alrefeidi¹,

Alahmari²

2021

Cureus

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“…Nowadays, TB is still a serious threat to human health. Pulmonary TB is the most common pattern of manifestaion, but Extrapulmonary TB (EPTB) contributes significantly to disability and mortality [3]. Timely diagnosis and correct treatment are critical to avoid functional disability.…”

Section: Case Reportmentioning

confidence: 99%

“…Extremely rare, patients with osteoarticular TB develop a form of bilateral ankles and feet arthritis. Additionally, because of its insidious onset and the atypical clinical symptoms that can mimic other diseases like subacute or chronic pyogenic arthritis, traumatic arthritis, rheumatoid arthritis, tuberculous rheumatism, osteochondrosis and benign bone tumors, the misdiagnosis rate is high [2][3][4]. Here we present a case of a 52-year-old man with bilateral feet and ankles tuberculous arthritis, misdiagnosed successively Rheumatoid Arthritis (RA) and Poncet's diease.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis of bilateral ankles: Misdiagnosed as rheumatoid arthritis

Wang¹,

He²,

Zhang³

et al. 2021

J Clin Images Med Case Rep

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The osteoarticular tuberculosis is a uncommon diease, which is accout for 0.1%-0.3% of Tuberculosis (TB). The involoment of foot and ankle is only 0.01%-0.03% of TB, particularly the bilateral feet and ankles are affected is extremely rare. Futhermore, its clinical manifestation is atypical and similar with autoimmune disorder, subacute or chronic pyogenic arthritis, osteochondrosis, benign bone tumors and so on, which conduce to the delay of its diagnose and therapy along with unfavourable prognosis. Here we present a case of a 52-year-old man with bilateral feet and ankles tuberculous arthritis, misdiagnosed successively Rheumatoid Arthritis (RA) and Poncet’s diease. It is hope that can enhance the alertness about osteoarticular tuberculosis. Keywords: Osteoarticular tuberculosis; ankle; foot; misdignose.

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“…Tuberculosis (TB) is a chronic, granulomatous, and necrotizing disease caused by infection with Mycobacterium tuberculosis (MTB) [1]. Tuberculosis has always been one of the world's public health problems.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the early clinical outcomes of arthroscopic debridement in the treatment of shoulder tuberculosis

Liu

Wang

et al. 2020

J Orthop Surg Res

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Background Due to atypical clinical symptoms, it is difficult to diagnose joint tuberculosis infection, which often results in misdiagnosis and missed diagnosis. It is easy to cause joint disability. And there are few reports of using arthroscopy to diagnose and treat shoulder tuberculosis. This case series aims to introduce the clinical outcomes of arthroscopic treatment of shoulder tuberculosis. Methods Twenty-nine patients with shoulder tuberculosis from September 2013 to February 2019 were included (10 males, 19 females; age range from 22 to 69; the average age is 37.6 years). All patients underwent arthroscopic lesion debridement, with preoperative and postoperative regular use of isoniazid, rifampicin, pyrazinamide, and streptomycin quadruple anti-tuberculosis drugs. The erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were recorded before and at the last follow-up. The shoulder function was evaluated according to the visual analogue scoring method (visual analogue scale, VAS) pain score and Constant score. Results Twenty-nine patients were followed up from 12 months to 2 years, and the average follow-up time was 15.7 months. The pathological diagnosis of all patients after surgery was shoulder tuberculosis. No serious complications were found at the last follow-up, and the incision healed well. VAS pain score, Constant score, ESR, and CRP at the last follow-up were significantly improved compared with those before treatment (P < 0.05). Conclusion On the basis of the standard use of anti-tuberculosis drugs before and after surgery, shoulder arthroscopy is used to treat early and mid-term shoulder tuberculosis, which can be diagnosed by direct observation under the arthroscope and postoperative pathological examination. It has the advantages of thorough lesion removal, minimal invasiveness, rapid recovery, and reliable clinical effect.

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Tuberculous Arthritis of the Ankle

Cited by 5 publications

References 5 publications

Tuberculous Arthritis of the Ankle Joint Mimicking Pigmented Villonodular Synovitis

Tuberculous Arthritis of the Ankle Joint Mimicking Pigmented Villonodular Synovitis

Tuberculosis of bilateral ankles: Misdiagnosed as rheumatoid arthritis

Analysis of the early clinical outcomes of arthroscopic debridement in the treatment of shoulder tuberculosis

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