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1

Cabral, Marta Maciel Lyra, Bruno Canto C. de A. Azevedo, Lílian Maria Lapa Montenegro, Rosana de Albuquerque Montenegro, Andrea Santos Lima, and Haiana Charifker Schindler. "Espondilite tuberculosa em adolescente." Jornal Brasileiro de Pneumologia 31, no. 3 (June 2005): 261–64. http://dx.doi.org/10.1590/s1806-37132005000300013.

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Relata-se o caso de uma adolescente com tuberculose osteoarticular em coluna lombossacral, uma localização incomum. O seu diagnóstico permanece um desafio por apresentar sintomas gerais inespecíficos e lesões ósseas que podem ser confundidas com outras afecções. A doença é degenerativa e de prognóstico reservado. São discutidos aspectos clínicos, laboratoriais e de imagem, incluindo tomografia computadorizada e ressonância magnética. A reação em cadeia da polimerase, usando o marcador IS 6110 para M. tuberculosis, foi positiva, sugerindo fortemente a presença do patógeno. Este ensaio é particularmente indicado quando se exige um diagnóstico de tuberculose rápido e sensível.
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Barbosa, Lucas de Figueiredo, Cristielly Guimarães Franco, Adriana Oliveira Guilarde, and Maria Auxiliadora de P. Carneiro Cysneiros. "TUBERCULOSE OSTEOARTICULAR PERIFÉRICA EM PACIENTE PORTADOR DE DERMATOMIOSITE PRIMÁRIA: UM RELATO DE CASO." Brazilian Journal of Infectious Diseases 25 (January 2021): 101341. http://dx.doi.org/10.1016/j.bjid.2020.101341.

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Costa, Marlos Augusto Bitencourt, Tarcísio Nunes Carvalho, Cyrillo Rodrigues de Araújo Júnior, Ana Olívia Cardoso Borba, Gerson Augusto Veloso, and Kim-Ir-Sen Santos Teixeira. "Manifestações extrapulmonares da paracoccidioidomicose." Radiologia Brasileira 38, no. 1 (February 2005): 45–52. http://dx.doi.org/10.1590/s0100-39842005000100010.

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Neste trabalho os autores realizam um estudo revisional e iconográfico de pacientes portadores da paracoccidioidomicose disseminada, apresentando os principais achados radiográficos no sistema nervoso central, glândulas adrenais, sistema osteoarticular, ganglionar e trato digestivo destes pacientes. Os métodos de diagnóstico por imagem têm permitido uma abordagem mais precisa destes pacientes e se mostrado cada vez mais sensíveis na detecção de lesões, mesmo em pacientes assintomáticos. Na maioria dos casos essas alterações são inespecíficas, podendo simular tanto lesões neoplásicas como infecciosas crônicas, sendo muitas vezes indistinguíveis da tuberculose. Apesar destas alterações serem incaracterísticas e do diagnóstico de certeza da paracoccidioidomicose só ocorrer após a confirmação micológica ou histológica do fungo, é possivel sugerir um diagnóstico preciso quando os achados de imagem forem analisados em um contexto clínico e epidemiológico pertinente.
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4

Calle, E., L. A. González, C. H. Muñoz, D. Jaramillo, A. Vanegas, and G. Vásquez. "Tuberculous sacroiliitis in a patient with systemic lupus erythematosus: a case report and literature review." Lupus 27, no. 8 (March 7, 2018): 1378–82. http://dx.doi.org/10.1177/0961203318762594.

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Systemic lupus erythematosus (SLE) patients are at higher risk of developing opportunistic infections such as tuberculosis (TB), especially extrapulmonary forms like osteoarticular TB, compared to the general population. However, tuberculous sacroiliitis has been scarcely reported in these patients. We present a 34-year-old woman with SLE who developed articular tuberculosis simultaneously affecting the right sacroiliac joint and the left knee. The patient was successfully treated with antituberculosis therapy for nine months. In this case, in addition to the immunological abnormalities of lupus, the long-term glucocorticoid therapy at high dosages was the main risk factor for the development of osteoarticular tuberculosis.
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5

Sequeira, Winston, Henry Co, and Joel A. Block. "Osteoarticular Tuberculosis." American Journal of Therapeutics 7, no. 6 (November 2000): 393–98. http://dx.doi.org/10.1097/00045391-200007060-00009.

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6

Ehara, Shigeru. "Osteoarticular Tuberculosis." Seminars in Musculoskeletal Radiology 05, no. 02 (2001): 107–12. http://dx.doi.org/10.1055/s-2001-15662.

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7

Agashe, Vikas, Shubhada Shenai, Ganesh Mohrir, Minal Deshmukh, Anita Bhaduri, Ramesh Deshpande, Ajita Mehta, and Camilla Rodrigues. "Osteoarticular tuberculosis – diagnostic solutions in a disease endemic region." Journal of Infection in Developing Countries 3, no. 07 (August 30, 2009): 511–16. http://dx.doi.org/10.3855/jidc.469.

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Background: We conducted a study of osteoarticular tuberculosis in patients from private and public settings in a disease endemic area. Our objective was to assess the role of mycobacterial culture and polymerase chain reaction (PCR) in the diagnosis of osteoarticular tuberculosis (TB) in settings where only clinical and imaging diagnosis form the basis for treatment. Methodology: Ninety-three consecutive specimens collected from clinically suspected patients of osteoarticular TB were screened for bacterial culture, mycobacterial culture and in-house nested PCR. In addition, specimens were examined by imaging and histopathology. Ten specimens collected from patients suffering from other bone diseases were included as negative controls. Results: Of the 93 clinically suspected TB patients, mycobacterial culture was positive for Mycobacterium tuberculosis (MTB) in 47 (51%) patients who were confirmed as definite TB cases. Of the remaining patients, 16 (17%) were diagnosed as probable, 19 (20%) as possible, and 11 (12%) as only clinically suspected TB cases. In-house nested PCR was positive in 65 (70%) cases. Fifteen patients were resistant to one or more anti-tuberculous drugs; twelve patients were multi-drug resistant, two of whom were extensively drug resistant. Conclusion: Mycobacterial cultures using liquid media with susceptibility should form the backbone of management of osteoarticular TB. Nested PCR enhances the sensitivity if performed in addition to culture.
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8

Guseva, Gyuldana Raufovna. "Extrapulmonary forms of tuberculosis." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 1 (January 1, 2021): 60–65. http://dx.doi.org/10.33920/med-10-2101-08.

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Extrapulmonary tuberculosis is understood as the localization of the pathological process outside the chest cavity; most frequently, this form has a hematogenous transmission route. There is not a single organ in the human body that could not be affected by tuberculosis, however, some are involved in the pathological process more often than others. In the Russian Federation, tuberculosis of the lymph nodes ranks first in terms of the prevalence of extrapulmonary forms of tuberculosis, while tuberculosis of the genitourinary system and osteoarticular tuberculosis rank second and third, accordingly. In different countries, the proportion of patients with extrapulmonary forms of tuberculosis varies from 4 to 16 %. Due to the difficulty of diagnosis, about a third of cases of extrapulmonary tuberculosis remain undetected. An interesting fact is that pulmonary tuberculosis occurs mainly in men, while extrapulmonary tuberculosis affects women more often (in 59–63 % of cases). This trend is especially clearly traced in tuberculous lesions of the genitourinary system — women account for 75 % of its cases. Osteoarticular tuberculosis has not sexual, but age-specific prevalence: most frequently, it is diagnosed in children aged 0 to 4 years. According to the clinical classification used at the present stage, extrapulmonary forms represent the section «tuberculosis of other organs and systems».
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9

Rao, G. Nayantara, Jayasri Helen Gali, and S. Narasimha Rao. "Tuberculous Dactylitis: An Uncommon Presentation of a Common Infection." Case Reports in Pediatrics 2016 (2016): 1–3. http://dx.doi.org/10.1155/2016/4013471.

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Tuberculous dactylitis is an unusual form of osteoarticular tuberculosis involving the short tubular bones of hands and feet, which is uncommon beyond six years of age. We report the case of a fifteen-year-old adolescent boy who was diagnosed with tuberculous dactylitis, involving contralateral hand and foot. His diagnosis was delayed due to lack of suspicion of this rare entity. The report also examines the diagnostic difficulties faced by clinicians in arriving at an appropriate diagnosis.
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10

Baveja, C. P., Vidya Nidhi Gumma, Manisha Jain, and Himanshu Jha. "Foot ulcer caused by multidrug-resistant Mycobacterium tuberculosis in a diabetic patient." Journal of Medical Microbiology 59, no. 10 (October 1, 2010): 1247–49. http://dx.doi.org/10.1099/jmm.0.019554-0.

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Osteoarticular tuberculosis is the fourth leading type of extrapulmonary tuberculosis. The disease has a progressive course and the diagnosis is often made in the later stages of bone destruction. We describe a case of a foot ulcer caused by drug-resistant Mycobacterium tuberculosis in a patient with known diabetes where the diagnosis was not suspected initially. Although tuberculous foot ulcers are rare, they should be included in the differential diagnosis of unknown foot ulcers. A greater awareness of this rare clinical entity may help in commencing specific evidence-based therapy quickly and preventing undue morbidity and mortality.
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Childs, Sharon G. "Osteoarticular Mycobacterium Tuberculosis." Orthopaedic Nursing 15, no. 3 (May 1996): 27???38. http://dx.doi.org/10.1097/00006416-199605000-00006.

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A Shah, Bindesh, and Shepard Splain. "Multifocal Osteoarticular Tuberculosis." Orthopedics 28, no. 3 (March 1, 2005): 329–32. http://dx.doi.org/10.3928/0147-7447-20050301-22.

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13

Kumar, K., and M. B. L. Saxena. "Multifocal osteoarticular tuberculosis." International Orthopaedics 12, no. 2 (July 1988): 135–38. http://dx.doi.org/10.1007/bf00266978.

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14

Shyam, S., Jyoti Sureka, and Ravi Kanth Jakkani. "MULTIFOCAL OSTEOARTICULAR TUBERCULOSIS PRESENTING AS OLIGOARTICULAR CHRONIC JUVENILE ARTHRITIS." Journal of Musculoskeletal Research 14, no. 02 (September 2011): 1272002. http://dx.doi.org/10.1142/s0218957712720025.

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Osteoarticular tuberculosis of the bilateral ankle joint is a rare occurrence and diagnostic dilemmas are common, as it often mimics the inflammatory arthritis. We present a rare case of bilateral ankle tuberculosis in a young male patient presenting with ankle pain in the absence of systemic and pulmonary symptoms which mimicked oligoarticular chronic juvenile arthritis. Further evaluation with MRI of ankle and chest radiograph helped in making a presumptive diagnosis of tuberculosis, which was further confirmed by obtaining granulomatous tissue on bone biopsy. Despite multifocal osteoarticular involvement, the outcome of the patient was favorable after the treatment. Osteoarticular tuberculosis must be considered in patients with chronic oligoarticular or polyarticular involvement.
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15

Valladares Díaz, Carlos Diego, Erika Lucía Pilco Guerra, and Mary Isabel Ttito Condori. "Reporte de caso de tuberculosis osteoarticular: dificultad diagnóstica y probable infección primaria." Horizonte Médico (Lima) 17, no. 1 (May 31, 2017): 76–80. http://dx.doi.org/10.24265/horizmed.2017.v17n1.13.

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16

Borodulina, EA A., AYu Yu Kolacheva, and NV V. Kolacheva. "CLINICAL AND DIAGNOSTIC FEATURES OF OSTEOARTICULAR TUBERCULOSIS IN HIV-INFECTED PATIENTS." Science and Innovations in Medicine 2, no. 2 (June 15, 2017): 34–38. http://dx.doi.org/10.35693/2500-1388-2017-0-2-34-38.

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Aim - to study the features of osteoarticular tuberculosis (OAT) in patients with HIV-infection. Materials and methods. 118 patients with OAT treated by phthisiosurgeon in the TB dispensary in 2014-2016 were examined. Two groups were formed: the 1st group (study group) included 54 patients with HIV/OAT; the 2nd group (comparison group) included 64 patients with OAT without HIV-infection. Results. OAT was diagnosed in HIV patients aged 37-38 years at stage 4 of HIV-infection; pulmonary tuberculosis was detected in 50%, with MDR-TB in 11.1%, in 92.6% tuberculous spondylitis was prevalent, complicated by the formation of abscesses in 75.9%. Conclusion. Patients with HIV/OAT were 1.8 times more frequently detected in fastigium with widespread forms of spinal cord lesions, the process impaired 3 times more often in patients with ART failure and hepatitis C.
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17

Vardhan, Vasu, and Uday Yanamandra. "Diagnosis of osteoarticular tuberculosis." Indian Journal of Rheumatology 6, no. 1 (March 2011): 87–94. http://dx.doi.org/10.1016/s0973-3698(11)60038-1.

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18

Shembekar, Ashok, and Sudhir Babhulkar. "Chemotherapy for Osteoarticular Tuberculosis." Clinical Orthopaedics and Related Research 398 (May 2002): 20–26. http://dx.doi.org/10.1097/00003086-200205000-00004.

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Hazra, Avijit, and Baisakhi Laha. "Chemotherapy of osteoarticular tuberculosis." Indian Journal of Pharmacology 37, no. 1 (2005): 5. http://dx.doi.org/10.4103/0253-7613.13847.

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20

Hugosson, C., R. S. Nyman, J. Brismar, S. G. Larsson, S. Lindahl, and C. Lundstedt. "Imaging of Tuberculosis." Acta Radiologica 37, no. 3P2 (May 1996): 512–16. http://dx.doi.org/10.1177/02841851960373p216.

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Purpose: To assess frequency, location, and appearance of peripheral osteoarticular and soft-tissue tuberculosis (TB). Material and Methods: Twenty-five of 503 patients with TB had peripheral osteoarticular TB and 5 had soft-tissue TB. Chest radiography, CT, and MR imaging were applied. Results: The location of the osteoarticular lesion was articular/epiphyseal in 14 patients, articular/metaphyseal in 3, and metaphyseal without joint involvement in 3. Involvement of flat bone was found in 4 patients (5 lesions). The morphologic appearance was similar to that of a lytic tumour in 9 patients (10 lesions) and that of a destructive joint lesion in 16 patients. The soft-tissue TB in all 5 patients presented as an abscess. Twelve patients had a total of 20 additional sites of involvement: chest in 9, abdomen in 4, spine in 4, the neck in 3, and the central nervous system in one patient. Conclusion: On the basis of radiologic appearance, it can be difficult to differentiate peripheral osteoarticular and soft-tissue TB from other degenerative, inflammatory, or neoplastic disorders, and the importance of a high awareness is stressed in order to reach an early diagnosis.
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Jaeri, Santoso, and Abdulloh Machin. "Clinical Improvement with Non-Surgical Management of Tuberculous Spondylitis." Caspian Journal of Neurological Sciences 5, no. 1 (January 1, 2019): 34–40. http://dx.doi.org/10.32598/cjns.5.16.34.

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Background: Tuberculosis is the second most common fatal infectious disease after Acquired Immunodeficiency Syndrome (AIDS) in the world. The spine is involved in 50% of osteoarticular tuberculosis cases. Tuberculous Spondylitis (TS) is the most dangerous form of osteoarticular tuberculosis, because of its ability to destroy the vertebral body with subsequent permanent kyphosis and neurological deficits such as paraplegia. The treatment goals of TS are to eradicate the infection and provide stability for the affected spine. There is little information in the literature about systemic non-surgical treatment under the condition of spinal cord compression in TS. We report two cases of TS which was improved with non-surgical treatment. We believe that the clinico-radiological signs of spinal cord compression in these cases are not an emergency indication for surgery. Clinical Presentation and Intervention: Two women aged 34 and 26 years were hospitalized because of the upper motor neuron type weakness in both legs worsened gradually, descending numbness, without urinary or defecation problems. Magnetic resonance imaging depicted lesions on vertebral bodies supporting the diagnosis of TS. Both patients were received oral antituberculous therapy and their muscle force improved despite the kyphotic deformity in the first patient. Conclusion: Neuro-radiological evidence of spinal cord compression is not an emergency indication of surgery in the management of TS and clinical improvement can be obtained by non-surgical treatment.
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Liang, Tuo, Jiarui Chen, GuoYong Xu, Zide Zhang, Jiang Xue, Haopeng Zeng, Jie Jiang, et al. "Immune status changing helps diagnose osteoarticular tuberculosis." PLOS ONE 16, no. 6 (June 15, 2021): e0252875. http://dx.doi.org/10.1371/journal.pone.0252875.

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Objective This study is aimed to develop a new nomogram for the clinical diagnosis of osteoarticular tuberculosis (TB). Methods xCell score estimation to obtained the immune cell type abundance scores. We downloaded the expression profile of GSE83456 from GEO and proceed xCell score estimation. The routine blood examinations of 326 patients were collected for further validation. We analyzed univariate and multivariate logistic regression to identified independent predicted factor for developing the nomogram. The performance of the nomogram was assessed using the receiver operating characteristic (ROC) curves. The correlation of ESR with lymphocytes, monocytes, and ML ratio was performed and visualized in osteoarticular TB patients. Results Compared with the healthy control group in the dataset GSE83456, the xCell score of basophils, monocytes, neutrophils, and platelets was higher, while lymphoid was lower in the EPTB group. The clinical data showed that the cell count of monocytes were much higher, while the cell counts of lymphocytes were lower in the osteoarticular TB group. AUCs of the nomogram was 0.798 for the dataset GSE83456, and 0.737 for the clinical data. We identified the ML ratio, BMI, and ESR as the independent predictive factors for osteoarticular TB diagnosis and constructed a nomogram for the clinical diagnosis of osteoarticular TB. AUCs of this nomogram was 0.843. Conclusions We demonstrated a significant change between the ML ratio of the EPTB and non-TB patients. Moreover, we constructed a nomogram for the clinical diagnosis of the osteoarticular TB diagnosis, which works satisfactorily.
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Aggarwal, AN, IK Dhammi, AP Singh, S. Kumar, and MK Goyal. "Tubercular Osteomyelitis of the Clavicle: A Report of Four Cases." Journal of Orthopaedic Surgery 17, no. 1 (April 2009): 123–26. http://dx.doi.org/10.1177/230949900901700128.

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We report the clinicoradiological features of tuberculosis in the clavicle in 4 patients. The patients' ages ranged from 9 months to 29 years. All patients were managed with antitubercular drug therapy for one year and one underwent surgical debridement and curettage as well. Clinicians should be aware of the varied presentation (pain, non-healing ulcer, abscess, multifocal osteoarticular tuberculosis) of this condition. With the worldwide resurgence of turberculosis, clinicians should maintain a high index of suspicion. The diagnosis of osteoarticular tuberculosis is usually made on clinico-radiological features.
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Cantos-González, José Luis, Andrés Esteban Salazar-Molina, Arturo Artero-Mora, and Rafael Zaragoza-Crespo. "Tuberculosis osteoarticular multifocal sin enfermedad pulmonar." Revista Española de Casos Clínicos en Medicina Interna 4, no. 3 (December 2019): 118–20. http://dx.doi.org/10.32818/reccmi.a4n3a6.

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La tuberculosis osteoarticular es una forma poco común de tuberculosis extrapulmonar, y representa un verdadero desafío diagnóstico debido a su forma atípica de presentación y similitud con procesos neoplásicos osteolíticos. Presentamos el caso de un paciente varón de 36 años natural de Pakistán, inmunocompetente, sin antecedentes patológicos relevantes, con dolor lumbar crónico. En la tomografía computarizada toracoabdominopélvica con contraste se observaron lesiones osteolíticas múltiples con componente de partes blandas, confirmándose con resonancia magnética. Se realizó punción de la colección intramuscular de región sacra, con cultivo positivo para Mycobacterium tuberculosis complex multisensible. Se inició tratamiento tuberculostático, consiguiéndose mejoría clínica importante.
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Seung, Ong Ping, and Wahinuddin Sulaiman. "Osteoarticular tuberculosis mimicking rheumatoid arthritis." Modern Rheumatology 22, no. 6 (November 2012): 931–33. http://dx.doi.org/10.3109/s10165-012-0605-1.

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Golka, G. G., D. D. Bitchuk, V. V. Burlaka, A. A. Oleynik, and V. V. Vesnin. "Bacteriological studies in osteoarticular tuberculosis." Likarska sprava, no. 1-2 (March 25, 2018): 89–93. http://dx.doi.org/10.31640/jvd.1-2.2018(15).

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The article presents the results of bacteriological studies in two groups of patients. The main group included 60 patients with OAT confirmed by objective data and the control group of 25 patients with unconfirmed diagnosis. Sampling, preparation of samples and the study itself was carried out in a bacteriological laboratory according to conventional standards. Bacteriological confirmation of the diagnosis was obtained in 22 (36.7 %) Group I patients, of whom in 14 (23.3 %) patients MBT was isolated only by culture, in the rest – only by bacterioscopy and in 4 (6.7 %) cases positive results were obtained by two methods. Assessment of the results of bacteriological tests in the control group showed that samples (joints punctate) of these patients were not found to contain MBT. Evaluation of statistical indices of bacteriological studies revealed that though specificity of these studies in patients with OAT comprised 100 %, it is not particularly sensitive (36.7 %), and the total value of the method was 55.3 %. Thus, conducted bacteriological studies confirm that paucibacillary of all of the samples is typical for OAT.
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Agarwal, Anil. "Paediatric osteoarticular tuberculosis: A review." Journal of Clinical Orthopaedics and Trauma 11, no. 2 (March 2020): 202–7. http://dx.doi.org/10.1016/j.jcot.2020.01.005.

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28

Herranz, J. Gonzalez, D. M. Farrington, J. Angulo Gutierrez, and P. Rodriguez Ferrol. "Peripheral Osteoarticular Tuberculosis in Children." Journal of Pediatric Orthopaedics B 6, no. 4 (October 1997): 274–82. http://dx.doi.org/10.1097/01202412-199710000-00010.

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Tuli, S. M. "General Principles of Osteoarticular Tuberculosis." Clinical Orthopaedics and Related Research 398 (May 2002): 11–19. http://dx.doi.org/10.1097/00003086-200205000-00003.

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Babhulkar, Sudhir S., and Sonali K. Pande. "Unusual Manifestations of Osteoarticular Tuberculosis." Clinical Orthopaedics and Related Research 398 (May 2002): 114–20. http://dx.doi.org/10.1097/00003086-200205000-00016.

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Agarwal, Anil, Shariq Azam Khan, and Nadeem Akhtar Qureshi. "Multifocal Osteoarticular Tuberculosis in Children." Journal of Orthopaedic Surgery 19, no. 3 (December 2011): 336–40. http://dx.doi.org/10.1177/230949901101900315.

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Purpose. To review records of 16 children with multifocal osteoarticular tuberculosis. Methods. Records of 7 girls and 9 boys aged one to 14 (mean, 6) years with multifocal osteoarticular tuberculosis were reviewed. Haematological tests and radiographs of the chest, whole spine, pelvis, knees, elbows, hands, and feet were taken. The diagnosis was confirmed histologically. Patients were treated with standard 4-drug antitubercular chemotherapy (isoniazid, rifampicin, ethambutol, pyrazinamide) for 2 months, followed by a 2-drug regimen (isoniazid and rifampicin) for 10 months. Supportive treatment (deworming and nutritional advice) was also provided. Results. All 16 patients were immunocompetent. Pain and swelling around the lesions were the main symptoms; fever was not common (2 cases only). No patient reported weight loss or night sweats. The mean number of bony lesions was 3.4 (range, 2–15) per patient. Appendicular (hands and feet) involvement was more common than axial (spinal) involvement. Radiological appearances of the lesions were cystic, irregular, lytic, and with or without sequestrum/periosteal reaction. Some lesions were asymptomatic and detected incidentally on radiographs. Only one patient had active chest lesions. Five patients had spinal involvement but no neurological deficit. No patient underwent any surgical intervention, except for diagnostic biopsy. The mean follow-up period was 18 (range, 6–24) months. All patients showed complete healing within one year of chemotherapy. There were residual deformities and restriction of joint movement in patients with advanced articular and axial osteoarticular involvement. Conclusion. Children with multifocal osteoarticular tuberculosis were usually immunocompetent. Appendicular involvement was common, but concomitant chest involvement was uncommon. Standard multidrug antitubercular therapy and nutritional supplementation achieved good outcome.
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Sbai, Mohamed Ali, Sofien Benzarti, Hana Sahli, Feten Sbei, and Riadh Maalla. "Osteoarticular tuberculosis dactylitis: Four cases." International Journal of Mycobacteriology 4, no. 3 (September 2015): 250–54. http://dx.doi.org/10.1016/j.ijmyco.2015.05.006.

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García, S., A. Combalía, A. Serra, J. M. Segur, and R. Ramón. "Unusual locations of osteoarticular tuberculosis." Archives of Orthopaedic and Trauma Surgery 116, no. 6 (1997): 321. http://dx.doi.org/10.1007/s004020050129.

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Garc�a, S., A. Combal�a, A. Serra, J. M. Segur, and R. Ram�nn. "Unusual locations of osteoarticular tuberculosis." Archives of Orthopaedic and Trauma Surgery 116, no. 6-7 (July 1997): 321–23. http://dx.doi.org/10.1007/bf00433981.

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Howlader, Muhammad Jahangir, Sohana Siddique, and Abu Bakar Siddique. "Tuberculous Dactylitis" (Spina Ventosa) in a 19 years old boy - a very rare disease." KYAMC Journal 7, no. 1 (August 29, 2017): 726–28. http://dx.doi.org/10.3329/kyamcj.v7i1.33767.

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Tuberculous Dactylitis is an unusual form of osteoarticular tuberculosis, involving the short bones of the hand & feet. Hence it is also known spina vantosa. In our case, a 19 years old boy presented with a swelling in the middle part of right ring finger which was provisionally diagnosed as a Giant cell tumor while the possibility of spina ventosa (Tubercular dactylitis) was kept in mind. He was admitted for curettage of the phalanx followed by bone grafting. Histopathological examination report confirmed it as Spina ventosaKYAMC Journal Vol. 7, No.-1, Jul 2016, Page 726-728
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Sobel, E., and S. Levitz. "Tuberculosis of the foot. A diagnostic challenge." Journal of the American Podiatric Medical Association 85, no. 2 (February 1, 1995): 83–90. http://dx.doi.org/10.7547/87507315-85-2-83.

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Two cases of tuberculosis of the foot are described. The diagnosis for each was delayed and unexpected. The clinical features of osteoarticular tuberculosis are reviewed along with practical guidelines for diagnosis.
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Darraj, Majid. "Delayed Presentation of Shoulder Tuberculosis." Case Reports in Infectious Diseases 2018 (September 24, 2018): 1–4. http://dx.doi.org/10.1155/2018/8591075.

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Infections caused by Mycobacterium tuberculosis (MTb) have a global distribution, with infections occurring most frequently in persons residing in or who have resided in developing nations. Pulmonary tuberculosis (Tb) is the most common form of infection caused by MTb. Osteoarticular Tb is a far less common condition than pulmonary Tb and is frequently overlooked in the differential diagnosis of persons with joint pathology. Osteoarticular Tb infections are far less common than pulmonary Tb and are usually not considered in the differential diagnosis. We describe a case of a 57-year-old immigrant African male who presented with 5 years of right shoulder pain and a restricted range of movement. Magnetic resonance imaging (MRI) concluded right shoulder septic arthritis, for which he underwent operative drainage and debridement was undertaken. The thick purulent joint fluid subsequently yielded MTb, establishing the diagnosis of osteoarticular Tb. We conclude that Tb should be suspected in cases of long-standing joint pain and stiffness, particularly in persons from endemic areas with Tb as well as patients with a previous history of Tb exposure.
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38

Gorial, Faiq I., Mohammad Yahya Abdulrazaq, and Hayder Adnan Fawzi. "A NOVEL STUDY OF VALIDITY OF LATENT TUBERCULOSIS AS A PREDICTOR TO TUBERCULOSIS OF THORACIC SPINE." Asian Journal of Pharmaceutical and Clinical Research 11, no. 9 (September 7, 2018): 234. http://dx.doi.org/10.22159/ajpcr.2018.v11i9.26676.

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Objective: The objective of this study is to assess the validity of latent tuberculosis (TB) as a predictor for TB of thoracic spine.Methods: This cross-sectional study involved 31 patients with osteoarticular TB diagnosed on the base of clinical features, magnetic resonance imaging, and tissue biopsy. Patients’ demographic and clinical characteristics of the disease were recorded. Latent TB was diagnosed by tuberculin skin test (TST) >10 mm. Results: The mean age of patients was 44.9 ± 19.0 years. Females were 17 (54.8) and mean body mass index was 24.6 ± 4.9 kg/m2. Thoracic spine was the highest osteoarticular TB site. Then, lumbar spine TB was 3 (9.7%) patients. Third in rank was TB of the knee joints 2 (6.5%). Cervical spine and hip joint TB were each one, 1 (3.2) patients, respectively. Validity of latent TB as a test to predict TB of thoracic spine revealed that if TST was positive, then this test will be accurate in 77.42% and we can establish the diagnosis of TB of the thoracic spine with 90.48% confidence if we had a clinical suspicion of TB of thoracic spine.Conclusion: There was a significant positive correlation between osteoarticular TB and latent TB. Thoracic spine TB was the most common osteoarticular TB infection compared to other sites. Patients who had latent TB have 9.5 times risk of having TB of the thoracic spine. Latent TB was a valid measure to predict TB of thoracic spine.
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Fernández Pozuelo, Carmen, Ángela Sánchez García-Ortega, Jose Luis Sánchez Rivas, and Antonino Abejón Ortega. "Tuberculosis osteoarticular: presentación de 2 casos." Revista del Laboratorio Clínico 6, no. 2 (April 2013): 85–88. http://dx.doi.org/10.1016/j.labcli.2012.12.002.

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40

Parra Parra, I., M. A. Remacha Esteras, and J. A. Herrera Rubio. "Tuberculosis osteoarticular en el hombro derecho." Archivos de Bronconeumología 37, no. 3 (January 2001): 154. http://dx.doi.org/10.1016/s0300-2896(01)75040-5.

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41

KLEIN, MICHAEL D., and JOHN H. McCONVILLE. "Simultaneous Pneumococcal Arthritis and Osteoarticular Tuberculosis." Southern Medical Journal 82, no. 5 (May 1989): 664–65. http://dx.doi.org/10.1097/00007611-198905000-00034.

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42

Zychowicz, Michael E. "Osteoarticular Manifestations of Mycobacterium Tuberculosis Infection." Orthopaedic Nursing 29, no. 6 (2010): 400–406. http://dx.doi.org/10.1097/nor.0b013e3181fb9a92.

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&NA;. "Osteoarticular Manifestations of Mycobacterium Tuberculosis Infection." Orthopaedic Nursing 29, no. 6 (2010): 404–8. http://dx.doi.org/10.1097/nor.0b013e3181ff00e7.

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44

Mateo, Lourdes, Juan Ruiz Manzano, Alejandro Olivé, Joxe Mari Manterola, Ricard Pérez, Xavier Tena, and Marisol Prats. "Tuberculosis osteoarticular: estudio de 53 casos." Medicina Clínica 129, no. 13 (October 2007): 506–9. http://dx.doi.org/10.1157/13111371.

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45

Jellis, John E. "Human Immunodeficiency Virus and Osteoarticular Tuberculosis." Clinical Orthopaedics and Related Research 398 (May 2002): 27–31. http://dx.doi.org/10.1097/00003086-200205000-00005.

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46

Keleş, Işık, Gülümser Aydın, Tuba Karagülle Kendi, and Sevim Orkun. "Multifocal osteoarticular tuberculosis: a case report." Rheumatology International 25, no. 4 (September 18, 2004): 307–10. http://dx.doi.org/10.1007/s00296-004-0505-6.

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Mariconda, Massimo, Andrea Cozzolino, Paolo Attingenti, Francesco Cozzolino, and Carlo Milano. "Osteoarticular tuberculosis in a developed country." Journal of Infection 54, no. 4 (April 2007): 375–80. http://dx.doi.org/10.1016/j.jinf.2006.06.006.

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48

Shah, I., S. Dani, N. S. Shetty, R. Mehta, and A. Nene. "Profile of osteoarticular tuberculosis in children." Indian Journal of Tuberculosis 67, no. 1 (January 2020): 43–45. http://dx.doi.org/10.1016/j.ijtb.2019.08.014.

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49

Etti, M., A. Duret, C. Cootauco, and P. Papineni. "Delays in diagnosis of osteoarticular tuberculosis." International Journal of Infectious Diseases 101 (December 2020): 453. http://dx.doi.org/10.1016/j.ijid.2020.09.1186.

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50

Jerome, J. Terrence Jose. "Tuberculosis of the Midtarsal Joints." Journal of the American Podiatric Medical Association 98, no. 3 (May 1, 2008): 246–49. http://dx.doi.org/10.7547/0980246.

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This case report discusses the presentation, diagnosis, and treatment of a 22-year-old man with extrapulmonary tuberculosis of the foot. Extrapulmonary tuberculosis is extremely rare and accounts for less than 10% of osteoarticular tuberculosis. Radiographic and magnetic resonance imaging correlations are introduced. (J Am Podiatr Med Assoc 98(3): 246–249, 2008)
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