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Imaging features of extraaxial musculoskeletal tuberculosis

Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. TB can involve pulmonary as well as extrapulmonary sites. The musculoskeletal system is involved in 1–3% of patients with tuberculosis. Although musculoskeletal TB has become uncommon in the We...

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Autores principales: Vanhoenacker, Filip M, Sanghvi, Darshana A, De Backer, Adelard I
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766888/
https://www.ncbi.nlm.nih.gov/pubmed/19881081
http://dx.doi.org/10.4103/0971-3026.54873
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author Vanhoenacker, Filip M
Sanghvi, Darshana A
De Backer, Adelard I
author_facet Vanhoenacker, Filip M
Sanghvi, Darshana A
De Backer, Adelard I
author_sort Vanhoenacker, Filip M
collection PubMed
description Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. TB can involve pulmonary as well as extrapulmonary sites. The musculoskeletal system is involved in 1–3% of patients with tuberculosis. Although musculoskeletal TB has become uncommon in the Western world, it remains a huge problem in Asia, Africa, and many developing countries. Tuberculous spondylitis is the most common form of musculoskeletal TB and accounts for approximately 50% of cases. Extraspinal musculoskeletal TB shows a predilection for large joints (hip and knee) and para-articular areas; isolated soft tissue TB is extremely rare. Early diagnosis and prompt treatment are mandatory to prevent serious destruction of joints and skeletal deformity. However, due to the nonspecific and often indolent clinical presentation, the diagnosis may be delayed. Radiological assessment is often the first step in the diagnostic workup of patients with musculoskeletal TB and further investigations are decided by the findings on radiography. Both the radiologist and the clinician should be aware of the possibility of this diagnosis. In this manuscript we review the imaging features of extraspinal bone, joint, and soft tissue TB.
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spelling pubmed-27668882009-11-20 Imaging features of extraaxial musculoskeletal tuberculosis Vanhoenacker, Filip M Sanghvi, Darshana A De Backer, Adelard I Indian J Radiol Imaging Tuberculosis Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. TB can involve pulmonary as well as extrapulmonary sites. The musculoskeletal system is involved in 1–3% of patients with tuberculosis. Although musculoskeletal TB has become uncommon in the Western world, it remains a huge problem in Asia, Africa, and many developing countries. Tuberculous spondylitis is the most common form of musculoskeletal TB and accounts for approximately 50% of cases. Extraspinal musculoskeletal TB shows a predilection for large joints (hip and knee) and para-articular areas; isolated soft tissue TB is extremely rare. Early diagnosis and prompt treatment are mandatory to prevent serious destruction of joints and skeletal deformity. However, due to the nonspecific and often indolent clinical presentation, the diagnosis may be delayed. Radiological assessment is often the first step in the diagnostic workup of patients with musculoskeletal TB and further investigations are decided by the findings on radiography. Both the radiologist and the clinician should be aware of the possibility of this diagnosis. In this manuscript we review the imaging features of extraspinal bone, joint, and soft tissue TB. Medknow Publications 2009-08 /pmc/articles/PMC2766888/ /pubmed/19881081 http://dx.doi.org/10.4103/0971-3026.54873 Text en © Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Tuberculosis
Vanhoenacker, Filip M
Sanghvi, Darshana A
De Backer, Adelard I
Imaging features of extraaxial musculoskeletal tuberculosis
title Imaging features of extraaxial musculoskeletal tuberculosis
title_full Imaging features of extraaxial musculoskeletal tuberculosis
title_fullStr Imaging features of extraaxial musculoskeletal tuberculosis
title_full_unstemmed Imaging features of extraaxial musculoskeletal tuberculosis
title_short Imaging features of extraaxial musculoskeletal tuberculosis
title_sort imaging features of extraaxial musculoskeletal tuberculosis
topic Tuberculosis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766888/
https://www.ncbi.nlm.nih.gov/pubmed/19881081
http://dx.doi.org/10.4103/0971-3026.54873
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