Extraspinal tuberculous arthritis in HIV era.

Clinical Rheumatology
P LertsrisatitS Janwityanujit

Abstract

A worldwide reemergence of tuberculosis is appreciable. Extrapulmonary tuberculosis has been observed to increase disproportionately from past incidence. One of the main attributing factors is the human immunodeficiency virus (HIV) infection. The objective of this study was to study clinical features, laboratory findings, and association with HIV infection in patients with peripheral tuberculous arthritis. The retrospective study was performed by reviewing the medical records of 27 patients with extraspinal tuberculous arthritis treated from January 1994 to December 2002. The diagnosis was made either by compatible clinical presentation and positive culture for Mycobacterium tuberculosis or histological finding of caseating granuloma in biopsy tissue or both. The average age of the patients' population was 49.3 years (range 27-74 years), made up of a 52% or 14 patients of male subjects. The mean duration of disease before seeking medical treatment was 10.2+11 weeks and from onset to diagnosis was 25 weeks. The most frequently affected joints were knees (36.6%) followed by wrists, ankles, shoulders, hips, sacroiliacs, and elbows, respectively. Monoarthritis was the main feature of this group, except for two patients who had two ...Continue Reading

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Citations

Nov 27, 2007·International Orthopaedics·Vivek PandeySugandhi Rao
Apr 11, 2009·Rheumatology·Ade AdebajoMohammed Tikly
Feb 16, 2008·Internal Medicine·Seiichi HiguchiTaidoh Arai
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