Proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases (Gabès, 2017)

Abstract

Extra spinal bone tuberculosis: report of 19 cases

Cite this: Pan African Medical Journal - Conference Proceedings. Dec 2017; 4(4): 142. doi:10.11604/pamj.cp.2017.4.142.350

Submitted: 18 Oct 17   Accepted: 03 Nov 17   Published: 05 Dec 17

Key words: Extraspinal, tuberculosis, bone, infection

© Rym Abid et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/4/142/abstract

Corresponding author: Habiba Naija, Department of Microbiology, the Military Hospital of Tunis, Tunisia (naijahabiba@hotmail.com)

This abstract is published as part of the proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases(TUNISIA, )

Extraspinal bone tuberculosis: report of 19 cases

Rym Abid1, Najeh Boussetta1, Habiba Naija2,&, Salim Asli2, Mohamed Ben Moussa2, Riadh Battikh1, Salah Othmani1

 

1Internal Medicine Department of the Military Hospital of Tunis, Tunisia, 2Department of Microbiology, the Military Hospital of Tunis, Tunisia

 

 

&Corresponding author
Habiba Naija, Department of Microbiology, the Military Hospital of Tunis, Tunisia

 

 

Abstract

Introduction: extra-pulmonary tuberculosis (TB) is increasingly frequent. Extraspinal bone infection is often misleading with clinical features depending on the affected joint/Bone. The aim of the present work was to describe clinical, diagnostic, therapeutic and evolutionary aspects of extra spinal bone TB according to an internal medicine department's experience.

 

Methods: retrospective study, conducted from January 2000 to January 2016 in the internal medicine department of the Military Hospital of Tunis, Tunisia. We included patients with peripheral osteoarticular tuberculosis. The diagnosis was either confirmed on histological or bacteriological findings or retained based on presumptive arguments. Nineteen patients met the inclusion criteria: 7 men and 12 women. The average age was 40 years (ranging between 15 to 77 years). Eight patients had history of diabetes mellitus. Tuberculosis contagion was found in 7 cases and personal history of tuberculosis in 3 cases. The majority of patients (82%) were from rural areas. The average consultation delay was at 5 months. The onset of symptoms was progressive in almost all cases (96.3%). Signs of tuberculous impregnation were noted in 65% of cases. Clinical signs were dominated by pain: it was inflammatory or mixed in most cases (96%). Tuberculous localizations were represented by sacroiliac joints in first place with (10 cases) then knee in 3 cases and ankles and sacrum in 2 cases each. Iliac bone, clavicle, sternum and shoulder were affected in one case each. Six patients had an associated extra bone damage.

 

Results: the TST (Tuberculin Skin Test) was performed in all patients and was found to be positive only in 64% of cases. Imaging CT and/or MRI was pathological in all cases. The diagnosis was confirmed in 11 patients by histological examination and in 2 patients by bacteriology (isolation of BK on direct examination in 1 case and culture in other case). All patients received TB treatment for a median of 14 months. The outcome was always favorable.

 

Conclusion: extraspinal localization osteoarticular TB is an insidious disease. An early diagnosis and care are crucially needed to prevent serious complications. Medical treatment remains effective to date.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases ()

Country: TUNISIA

Dates: 23 Oct 16 - 25 Oct 16

Venue:

Organizers:

Secretariat: dgsante_cmed@defense.tn

Contact person: Pr Salem Bouomrani (Salembouomrani@yahoo.fr)