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Titolo:
Diagnosis of osteoarticular tuberculosis. A review of 120 cases managed ina rheumatology department.
Autore:
Benbouazza, K; El Maghraoui, A; Lazrak, N; Bezza, A; Allali, F; Hassouni, F; Hajjaj-Hassouni, N;
Indirizzi:
Ctr Hosp Univ Rabat Sale, Hop El Ayachi, Serv Rhumatol B, Sale, Morocco Ctr Hosp Univ Rabat Sale Sale Morocco i, Serv Rhumatol B, Sale, Morocco
Titolo Testata:
SEMAINE DES HOPITAUX
fascicolo: 27-28, volume: 75, anno: 1999,
pagine: 1057 - 1064
SICI:
0037-1777(19991007)75:27-28<1057:DOOTAR>2.0.ZU;2-D
Fonte:
ISI
Lingua:
FRE
Keywords:
tuberculosis; arthritis; osteitis; epidemiology; diagnosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Benbouazza, K Ctr Hosp Univ Rabat Sale, Hop El Ayachi, Serv Rhumatol B, Sale, Morocco Ctr Hosp Univ Rabat Sale Sale Morocco ol B, Sale, Morocco
Citazione:
K. Benbouazza et al., "Diagnosis of osteoarticular tuberculosis. A review of 120 cases managed ina rheumatology department.", SEM HOP PAR, 75(27-28), 1999, pp. 1057-1064

Abstract

The bones and joints are the fourth most common target of tuberculosis in Morocco. Objective: to review the diagnostic aspects of osteoarticular tuberculosis (OATB), particularly in extraspinal locations, in rheumatology patients. Patients and methods. retrospective study in patients managed between 1980 and 1994 for OATB diagnosed based on positive cultures, positive histology, and/or a combination of highly suggestive features. Results: 120 cases of OATB were identified, 76 women and 44 men, with a mean age of 43+/-17 years. Twenty-three per cent of patients reported contact with a tuberculosis patient and 10% a history of tuberculosis. Precipitating factors included trauma (10.6%) and glucocorticoid therapy (12.5%). The number of foci was one in 76% of cases, two in 18.3%, and more than two in 5.7%, yielding atotal of 159 foci in the 120 patients. Sixty-five patients had extraspinalinvolvement consisting in arthritis (73 foci), osteitis (six foci), and tenosynovitis (two foci). The knee was the most commonly affected joint (43 foci), followed by the hips (8 foci), the sacroiliac joints (8 foci), the feet (7 foci), the shoulders (2 foci), the elbows (2 foci), and the wrist, pubis, and sternoclavicular joint (one focus each). The sedimentation rate was elevated to more than 50 mm/h in 61% of patients with extra-spinal OATB and was normal in 10.7%. The intra-dermal tuberculin test was negative in 15.5% of patients with extraspinal OATB. In this group, the diagnosis was based on examination of specimens from the extraarticular focus in 46 cases orfrom another focus in 11 cases; in the remaining eight patients, the diagnosis was made based on a combination of highly suggestive features. All patients were given at least three antituberculous agents for at least six months. Discussion: our data suggest that the frequency of tuberculosis is decreasing at the hip and increasing at the knee, and that tuberculous osteitis remains uncommon. Diagnostic pitfalls in extraspinal OATB are discussed and the results of the present study are compared to previously published data.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 20:02:07