What is tuberculosis osteomyelitis?
Tuberculous osteomyelitis occurs secondary to lymphohematogenous spread of Mycobacterium tuberculosis from a pulmonary focus [5]. Clinical symptoms are very nonspecific and can include insidious onset of pain, swelling, decreased range of motion and difficulty ambulating.
What is musculoskeletal TB?
Skeletal tuberculosis (TB) refers to TB involvement of the bones and/or joints. It is an ancient disease; features of spinal TB have been identified in Egyptian mummies dating back 9000 years [1,2], and analysis of 483 pre-Columbian skeletons in Chile showed lesions consistent with bony TB in 2 percent of cases [3].
What is spina Ventosa?
Spina ventosa is tuberculous dactylitis of the short bones of the hands and feet, characterized by a cystic, ballooned-out appearance of the involved bone. 1. It is considered to be a disease of childhood that is uncommon after the age of 5 years.
How does tuberculosis affect bones?
Bone TB severely affects the joints of the hips and knees. It is also a bonus disease for AIDS patients. A typical tuberculous like osteoarticular manifestations are common. It causes pain in the extraspinal skeleton, trochanteric area, or a prosthetic joint.
What causes tuberculous osteomyelitis?
Tuberculosis osteomyelitis of the bone is a rare condition caused by the Mycobacterium tuberculosis. Although relatively it is seen more frequently in Asian countries, in recent years, its incidence has increased in Western countries due to HIV infection, increasing elderly population and emerging resistant strains.
What are the symptoms of TB of the bones?
Sign and Symptoms of Bone TB:
- Pain at joints.
- Pott disease. ( spinal TB )
- Back pain.
- Carpal tunnel syndrome.
- Cushioning of the vertebral disc.
- Uneasiness in the thoracic region.
- Pain in the carpal bone. ( Carpal tunnel syndrome)
- Wrist pain. ( in case of vertebral bone defects )
What is Poncet disease?
Core tip: Poncet’s disease (PD) is a form of reactive arthritis that develops in patients with active tuberculosis (TB). It is a rare, non-destructive parainfective symmetric polyarthritis. In cases of unexplained atypical arthritis associated with non-articular TB, PD should be considered.
What is Potts spine?
Spinal tuberculosis (TB) or Pott’s spine is the commonest extrapulmonary manifestation of TB. It spreads through hematogenous route. Clinically, it presents with constitutional symptoms, back pain, tenderness, paraplegia or paraparesis, and kyphotic or scoliotic deformities.
Is bone tuberculosis curable?
It is a serious condition since it destroys the thoracic and leads to bone deformity. It is extremely important to detect bone tb symptoms as soon as possible. Bone tb is a curable condition if detected soon.
What are symptoms of bone TB?
Symptoms of Bone Tuberculosis
- Severe back pain.
- Inflammation in back or joints.
- Stiffness.
- Trouble moving or walking, especially in children.
- Spinal abscess.
- Soft tissue swelling.
- Neurological disorders.
- Tuberculosis-related meningitis.
How does TB affect the bones?
After you contract tuberculosis, it can travel through the blood from the lungs or lymph nodes into the bones, spine, or joints. Bone TB typically begins due to the rich vascular supply in the middle of the long bones and the vertebrae.
Is bone TB Serious?
Bone tuberculosis is relatively rare, but in the last few decades the prevalence of this disease has increased in developing nations partially as a result of the spread of AIDS. While rare, bone tuberculosis is difficult to diagnose and can lead to severe problems if left untreated.
Can tuberculosis cause reactive arthritis?
Reactive arthritis in tuberculosis (TB) is known as Poncet’s disease, a rare aseptic form of arthritis observed in patients with active TB. We report a case of Poncet’s disease in a 20-year old man whose reactive arthritis overshadowed other clinical symptoms of TB resulting in delayed diagnosis and treatment.
What are the signs of spinal tuberculosis?
The characteristic clinical features of spinal tuberculosis include local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess, gibbus, and a prominent spinal deformity. The cold abscess slowly develops when tuberculous infection extends to adjacent ligaments and soft tissues.
Is bone TB life threatening?
What is Tuberculous dactylitis?
Tuberculous dactylitis, also known as spina ventosa, is a rare skeletal manifestation of tuberculosis where the short tubular bones (i.e. phalanges, metacarpals, metatarsals) are affected.
What are the medical conditions associated with dactylitis?
The following medical conditions have been associated with dactylitis: Similar to the dactylitis in tuberculosis, the difference being represented by the bilateral and symmetrical involvement Dactylitis affects a small percentage of the patients diagnosed with this medical condition
How is dactylitis diagnosed?
The diagnosis can be made with the help of a dactylitis score sheet (finger/toe involvement, circumference of the involved digit, contralateral digit, tenderness). These are the most common symptoms of dactylitis:
When does dactylitis occur in sickle cell anaemia?
Occurs in patients with sickle-cell anaemia, most frequently for the first time within the first four years of life In many cases, dactylitis is the first sign of the presence of the blood disorder and often leads to the diagnosis of sickle-cell disease.