Tuberculosis arthritis and tenosynovitis

The incidence of extrapulmonary tuberculosis (TB) has been rising due to the increasing number of immunosuppressed patients. Musculoskeletal system accounts for 25% of extrapulmonary TB. Most of the musculoskeletal TB involves the spine. TB of peripheral joints and tendons occur infrequently, but if...

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Main Authors: Pattamapaspong N., Muttarak M., Sivasomboon C.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-81155151406&partnerID=40&md5=923ad95f8d341ef68846a2a8276f5669
http://www.ncbi.nlm.nih.gov/pubmed/22081281
http://cmuir.cmu.ac.th/handle/6653943832/2972
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-29722014-08-30T02:25:36Z Tuberculosis arthritis and tenosynovitis Pattamapaspong N. Muttarak M. Sivasomboon C. The incidence of extrapulmonary tuberculosis (TB) has been rising due to the increasing number of immunosuppressed patients. Musculoskeletal system accounts for 25% of extrapulmonary TB. Most of the musculoskeletal TB involves the spine. TB of peripheral joints and tendons occur infrequently, but if untreated, it can cause serious joint and tendon destruction as well as spread of the infection to the surrounding bursa, muscle, and other soft tissues. The diagnosis of TB of joints and tendons is difficult due to the nonspecific clinical manifestations and imaging features. Concurrent active pulmonary TB is present in <50% of the patients. A positive chest radiographic finding or a positive tuberculin test supports the diagnosis, but negative results do not exclude diagnosis. Although imaging features of TB of joints and tendons are nonspecific, certain findings such as relatively preserved joint space, juxta-articular osteoporosis, cold abscesses, para-articular soft tissue calcification, and rice bodies are suggestive of TB infection. Familiarity with these imaging features can help in making an early diagnosis and facilitating proper management. © 2011 Thieme Medical Publishers, Inc. 2014-08-30T02:25:36Z 2014-08-30T02:25:36Z 2011 Article 10897860 10.1055/s-0031-1293492 SMRAF http://www.scopus.com/inward/record.url?eid=2-s2.0-81155151406&partnerID=40&md5=923ad95f8d341ef68846a2a8276f5669 http://www.ncbi.nlm.nih.gov/pubmed/22081281 http://cmuir.cmu.ac.th/handle/6653943832/2972 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description The incidence of extrapulmonary tuberculosis (TB) has been rising due to the increasing number of immunosuppressed patients. Musculoskeletal system accounts for 25% of extrapulmonary TB. Most of the musculoskeletal TB involves the spine. TB of peripheral joints and tendons occur infrequently, but if untreated, it can cause serious joint and tendon destruction as well as spread of the infection to the surrounding bursa, muscle, and other soft tissues. The diagnosis of TB of joints and tendons is difficult due to the nonspecific clinical manifestations and imaging features. Concurrent active pulmonary TB is present in <50% of the patients. A positive chest radiographic finding or a positive tuberculin test supports the diagnosis, but negative results do not exclude diagnosis. Although imaging features of TB of joints and tendons are nonspecific, certain findings such as relatively preserved joint space, juxta-articular osteoporosis, cold abscesses, para-articular soft tissue calcification, and rice bodies are suggestive of TB infection. Familiarity with these imaging features can help in making an early diagnosis and facilitating proper management. © 2011 Thieme Medical Publishers, Inc.
format Article
author Pattamapaspong N.
Muttarak M.
Sivasomboon C.
spellingShingle Pattamapaspong N.
Muttarak M.
Sivasomboon C.
Tuberculosis arthritis and tenosynovitis
author_facet Pattamapaspong N.
Muttarak M.
Sivasomboon C.
author_sort Pattamapaspong N.
title Tuberculosis arthritis and tenosynovitis
title_short Tuberculosis arthritis and tenosynovitis
title_full Tuberculosis arthritis and tenosynovitis
title_fullStr Tuberculosis arthritis and tenosynovitis
title_full_unstemmed Tuberculosis arthritis and tenosynovitis
title_sort tuberculosis arthritis and tenosynovitis
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-81155151406&partnerID=40&md5=923ad95f8d341ef68846a2a8276f5669
http://www.ncbi.nlm.nih.gov/pubmed/22081281
http://cmuir.cmu.ac.th/handle/6653943832/2972
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