The prevalence of extra spinal skeletal tuberculosis in paediatric population: A pilot study with a review of literature
Background: Tuberculosis affects a significant percentage of the world’s population and is responsible for bone and joint infections particularly in the developing world. Skeletal TB is uncommon and it is not very rare. There are no studies to know the prevalence of extra spinal skeletal tuberculosis in children. Therefore present study was done to know the prevalence of extra spinal skeletal tuberculosis in pediatric population who attended orthopedic OPD of Tertiary Health Care Centre and also know the frequency of joints or bones involved in the disease process.
Methods: In this study, all pediatric cases of age less than 12 years and who proven diagnosis of extra-spinal skeletal tuberculosis over the last 6 months were reviewed from the past medical records maintained in the medical records department of the institute.
Results: Total number of children (≤12 years) who attended the Orthopardic OPD over 6 months were 2041, of which 20 children met the inclusion criteria of the study. The prevalence of extra-spinal skeletal tuberculosis in children was calculated to be 0.97%. All had symptoms of pain, swelling, and stiffness. 11 children had involvement of the hip joint, 4 had knee joint, 3 had elbow and 1child each had involvement of lower end of humerus and fourth metatarsal bone.
Conclusion: The diagnosis of pediatric extra spinal skeletal tuberculosis can be made on imaging (X- ray and Magnetic Resonance Imaging) and confirm by BACTEC of synovial fluid or tissue biopsy. Hence, BACTEC of synovial fluid or tissue biopsy are the gold standards in diagnosis.
Copyright (c) 2019 International Journal of Biomedical Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- An author must submit Copyright form After acceptance of the article.