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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 731-735
DOI: 10.1016/j.rboe.2017.11.015
Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Osteomielite tuberculosa imitando um tumor ósseo lítico: Relato de dois casos e revisão da literatura[*]

Article in several languages: português | English
I. Gede Eka Wiratnaya 
1   Departamento de Cirurgia Ortopédica e Traumatológica, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonésia
,
I. Wayan Restu B. Susila
1   Departamento de Cirurgia Ortopédica e Traumatológica, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonésia
,
Dwijo Anargha Sindhughosa
2   Faculdade de Medicina, Udayana University, Denpasar, Indonésia
› Author Affiliations
Further Information

Publication History

05 November 2017

06 November 2017

Publication Date:
13 December 2019 (online)

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Resumo

A osteomielite tuberculosa é uma forma incomum de tuberculose (TB) e o acometimento isolado da articulação do punho pelo TB é particularmente raro. Os sintomas e a manifestação clínica imitam outras doenças; portanto, um diagnóstico cuidadoso é necessário. Os autores apresentam dois casos de pacientes com massa nas partes moles e lesão óssea lítica. A biópsia revelou osteomielite granulomatosa. A cultura da lesão identificou Mycobacterium tuberculosis. Os autores recomendam que médicos clínicos incluam a TB como um diagnóstico diferencial da causa primária das lesões ósseas líticas, mesmo na ausência de sintomas pulmonares ou fatores de risco de infecção por TB. A inclusão de culturas micobacterianas na análise de biópsias de lesões ósseas líticas também é recomendada.

Palavras-chave

neoplasias ósseas/diagnóstico - biópsia - agulha fina/métodos - tuberculose - osteoarticular/diagnóstico - agentes antibacterianos/uso terapêutico

* Estudo conduzido no Departamento de Cirurgia Ortopédica e Traumatológica, Sanglah General Hospital-Medical Faculty of Udayana University, Denpasar, Indonésia. Originalmente Publicado por Elsevier Editora Ltda.


 

  • Referências

  • 1 Shah BA, Splain S. Multifocal osteoarticular tuberculosis. Orthopedics 2005; 28 (03) 329-332
    CrossrefPubMedGoogle Scholar
  • 2 Turgut M. Spinal tuberculosis (Pott's disease): its clinical presentation, surgical management, and outcome. A survey study on 694 patients. Neurosurg Rev 2001; 24 (01) 8-13
    CrossrefPubMedGoogle Scholar
  • 3 Wares F, Balasubramanian R, Mohan A, Sharma SK. Extrapulmonary tuberculosis: management and control. In: Agarwal SP, Chauhan LS. , editors. Tuberculosis control in India. New Delhi: Directorate General of Health Services, Ministry of Health & Family Welfare; 2005: 95-114
    Google Scholar
  • 4 Monir Madkour M. Tuberculosis. Berlin: Springer; 2004
    Google Scholar
  • 5 Gardam M, Lim S. Mycobacterial osteomyelitis and arthritis. Infect Dis Clin North Am 2005; 19 (04) 819-830
    CrossrefPubMedGoogle Scholar
  • 6 Burnwal R, Neogi DS. , D Ortho SS. Tubercular osteomyelitis of distal ulna presenting as epiphyseal injury. Maedica (Buchar) 2012; 7 (03) 247-250
    Google Scholar
  • 7 Soman SM, Patel BN, Shah PD. Persistent posttraumatic wrist pain – tuberculosis infection should be in the differential diagnosis. A rare case report. J Orthop Case Rep 2015; 5 (04) 17-20
    PubMedGoogle Scholar
  • 8 Mussa MA, O'Connor EF, Waterston S, Taylor M, Iwuagwu F. Isolated tuberculosis of the wrist: a rare case of extrapulmonary tuberculosis. IJCRI 2013; 4 (10) 541-545
    CrossrefGoogle Scholar
  • 9 Ali R, Jalil A, Qureshi A. Extra spinal osteoarticular tuberculosis: a case series of 66 patients from a tertiary care hospital in Karachi. J Pak Med Assoc 2012; 62 (12) 1344-1348
    PubMedGoogle Scholar
  • 10 Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996; 78 (02) 288-298
    CrossrefPubMedGoogle Scholar
  • 11 Garrido G, Gomez-Reino JJ, Fernández-Dapica P, Palenque E, Prieto S. A review of peripheral tuberculous arthritis. Semin Arthritis Rheum 1988; 18 (02) 142-149
    CrossrefPubMedGoogle Scholar
  • 12 Agarwal S, Caplivski D, Bottone EJ. Disseminated tuberculosis presenting with finger swelling in a patient with tuberculous osteomyelitis: a case report. Ann Clin Microbiol Antimicrob 2005; 4: 18
    CrossrefPubMedGoogle Scholar
  • 13 Berney S, Goldstein M, Bishko F. Clinical and diagnostic features of tuberculous arthritis. Am J Med 1972; 53 (01) 36-42
    CrossrefPubMedGoogle Scholar
  • 14 Wallace R, Cohen AS. Tuberculous arthritis: A report of two cases with review of biopsy and synovial fluid findings. Am J Med 1976; 61 (02) 277-282
    CrossrefPubMedGoogle Scholar
  • 15 Titov AG, Vyshnevskaya EB, Mazurenko SI, Santavirta S, Konttinen YT. Use of polymerase chain reaction to diagnose tuberculous arthritis from joint tissues and synovial fluid. Arch Pathol Lab Med 2004; 128 (02) 205-209
    CrossrefPubMedGoogle Scholar
  • 16 Haider ALM. Bones and joints tuberculosis. Bahrain Med Bull 2007; 29: 1-9
    Google Scholar
  • 17 Enache SD, Pleşea IE, Anuşca D, Zaharia B, Pop OT. Osteoarticular tuberculosis--a ten years case review. Rom J Morphol Embryol 2005; 46 (01) 67-72
    PubMedGoogle Scholar
  • 18 Chen SC, Chen KT. Updated diagnosis and management of osteoarticular tuberculosis. J Emerg Med Trauma Surg Care. 2014; 1 (01) 1-7
    Google Scholar
  • 19 Muangchan C, Nilganuwong S. The study of clinical manifestation of osteoarticular tuberculosis in Siriraj Hospital, Thailand. J Med Assoc Thai 2009; 92 (Suppl. 02) S101-S109
    PubMedGoogle Scholar
  • 20 Chandir S, Hussain H, Salahuddin N. , et al. Extrapulmonary tuberculosis: a retrospective review of 194 cases at a tertiary care hospital in Karachi, Pakistan. J Pak Med Assoc 2010; 60 (02) 105-109
    PubMedGoogle Scholar
  • 21 Agarwal A, Qureshi NA, Khan SA, Kumar P, Samaiya S. Tuberculosis of the foot and ankle in children. J Orthop Surg (Hong Kong) 2011; 19 (02) 213-217
    CrossrefPubMedGoogle Scholar