The prevalence of extra spinal skeletal tuberculosis in paediatric population: A pilot study with a review of literature

  • Kamlesh Jaswani Associate Professor, L. N. Medical College Bhopal, Madhya Pradesh- 462042
Keywords: Tuberculosis, Skeletal, Extrapulmonary, Extra spinal, Pediatric, Orthopardic

Abstract

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.

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Published
2019-03-30
How to Cite
1.
Jaswani K. The prevalence of extra spinal skeletal tuberculosis in paediatric population: A pilot study with a review of literature. IJBR [Internet]. 30Mar.2019 [cited 19Apr.2019];10(3):e5134. Available from: https://ssjournals.com/index.php/ijbr/article/view/5134
Section
Original Research Articles