Current Concepts In Diagnosis & Management Of Osteoarticular Tuberculosis

  • Dhammi IK Department of Orthopaedics, University College of Medical Science, Delhi
  • Kumar S Department of Orthopaedics, University College of Medical Science, Delhi
Keywords: Tuberculosis, osteoarticular, tubercular osteomyelitis

Abstract

Tuberculosis is common worldwide and in endemic in India. Musculoskeletal tuberculosis, involving spine and other joints is seen in 1% to 3% of patients with tuberculosis. The disease has varied clinical presentation & lack of charateristic radiographic findings leading to delayed diagnosis and treatment. Early confirmed diagnosis & proper medical treatment are essential for control of the disease. This review article based on the recent literature review discuss the clinical presentation, diagnosis and management of osteoarticular tuberculosis.

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References

World Health Organization. Global tuberculosis report 2018. Geneva, Switzerland: World health organization. 2018. (https://www.who.int/tb/global-report-2019)

Norbis L, Miotto P, Alagna R, Cirillo DM. Tuberculosis: lights & shadows in the current diagnostic landscape. New Microbiol 2013;36:111-20.

Malaviya AN, Kotwal PP. Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 2003;17:319-43.

Iademarco MF, Castro KG. Epidemiology of tuberculosis. Semin Respir Infect 2003;18:225-40.

Narang S. Tuberculosis of the entheses. Int Orthop 2012;36:2373-8.

Samuel S, Boopalan PR, Alexander M, Ismavel R, Varghese VD et al. Tuberculosis of and around the ankle. J Foot Ankle Surg. 2011;50:466-72.

Abdulaziz S, Almoallim H, Ibrahim A, Samannodi M, Shabrawishi M, et al. Poncet’s disease (reactive arthritis associated with tuberculosis): retrospective case series & review of literature. Clin Rheumatol 2012;31:1521-28.

Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004;120:316–353.

Walker GF. Failure of early recognition of skeletal tuberculosis. Br Med J 1968;1:682-3

Hsiao CH, Cheng A, Huang YT, Liao CH, Hsueh PR. Clinical & pathological characteristics of mycobacterial tenosynovitis & arthritis. Infection 2013;41:457-64.

Index TB Guidelines. Guidelines on extra-pulmonary tuberculosis for India. New Delhi, India: World Health Organization. 2016.(https://tbcindia.gov.in/showfile.php?lid=3245).

Sequeira W, Co H, Block JA. Osteoarticular tuberculosis: current diagnosis & treatment. Am J Ther 2000;7:393-8.

Hanza M. Joint & spine tuberculosis. Rev Rheum 1994;60:83-6.

Valdazo JP, Perez-Ruiz F, Albarracin A, Sanchez-Nievas G, Perez-Benegas J, et al. Tuberculous arthritis. Report of a case with multiple joint involvement & periarticular tuberculous abscesses. J Rheumatol 1990;17:399-401.

Enarson DA, Fujii M, Nakielna EM, Grzybowski S. Bone & joint tuberculosis: a continuing problem. Can Med Assoc J 1979;120:139-45.

Krama SB, Lee SHS, Abramson SB. Non-vertebral infections of musculoskeletal tuberculosis. In: Rom WN, Garay SM. Tuberculosis. 2nd edn. Newyork: Lippincott, William & Wilkins. 2004 pp577-591.

Martini M, Ouahes M. Bone & joint tuberculosis: a review of 652 cases. Orthop 1988;11:861-6.

Spiegel DA, Singh GK, Banskota, Ashok K. Tuberculosis of the musculoskeletal system. Tech Orthop 2005;20:167-78.

Wang MN, Chen WM, Lee KS, Chin LS, Lo WH. Tuberculous osteomyelitis in young children. J Pediatr Orthop 1999;19:151-5.

Tuli SM. Diagnosis & investigations. In: Tuli SM. Tuberculosis of the skeletal system. 4th ed. New Delhi:Jaypee 2010. pp34-37.

Ewer K, Deeks J, Alvarez L, et al. Comparison of T-cell-based assay with tuberculin skin test for diagnosis of Mycobacterium tuberculosis infection in a school tuberculosis outbreak. Lancet 2003;361:1168–73.

Brock I, Weldingh K, Lillebaek T, et al. Comparison of tuberculin skin test & new specific blood test in tuberculosis contacts. Am J Respir Crit Care Med. 2004;1;170(1):65-9.

Jain AK. The pathology of osteoarticular tuberculosis. In: Jain AK. Tuberculosis of bones, joints & spine. 1st ed. New Delhi:CBS 2017 pp38-40.

World Health Organization. Definitions & reporting framework for tuberculosis- 2013 revision. Geneva, Switzerland: World health organization. 2013. (WHO/HTM/TB/2013.2)

Zhao P, Fang F, Yu Q, et al. Evaluation of BACTEC MGIT 960 system for testing susceptibility of Mycobacterium tuberculosis to first-line drugs in China. PLoS One. 2014;9(9):e99659.

Lawn SD, Mwaba P, Bates M, Piatek A, Alex&er H, et al. Advances in tuberculosis diagnostics: the Xpert MTB/RIF assay & future prospects for a point-of-care test. Lancet Infect Dis 2013;13:349-61.

Jain AK. Bone infections In: Jain AK. Turek’s Orthopaedics principle & their application. 7th ed. New Delhi:Wolters Kluwer 2016. pp296-97.

Tuli SM. Principles of management of osteoarticular tuberculosis. In: Tuli SM. Tuberculosis of the skeletal system. 4th ed. New Delhi:Jaypee 2010. pp59-62.

Published
2020-03-31
CITATION
DOI: 10.5281/zenodo.3969733
Published: 2020-03-31
How to Cite
1.
Dhammi IK, Kumar S. Current Concepts In Diagnosis & Management Of Osteoarticular Tuberculosis. ojmpc [Internet]. 2020Mar.31 [cited 2024Nov.21];26(1):3-13. Available from: https://ojmpc.com/index.php/ojmpc/article/view/97
Section
Review Article