Tuberculosis arthritis: Epidemiology, diagnosis, treatment

Tuberculosis arthritis: Epidemiology, diagnosis, treatment



Chi-Chou Tseng1, Ruay-Ming Huang2 and Kow-Tong Chen3,4*

1Department of Orthopedics, Chi-Mei Medical Center, Liouying, Tainan, Taiwan
2Hualien Hospital, Ministry of Health and Welfare, Hualien, Taiwan
3Department of Occupational Medicine, Tainan Municipal Hospital, Tainan, Taiwan
4Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan




Clinical Research on Foot & Ankle



Tuberculosis (TB) arthritis accounts for approximately 1-3% of all cases of tuberculosis and for approximately 10-11% of extrapulmonary cases. TB arthritis primarily involves the large weight-bearing joints, in particular the hips, knees, and ankles, and occasionally involves smaller nonweight-bearing joints. The diagnosis of TB arthritis is often delayed due to lack of awareness, insidious onset, lack of characteristic early radiographic findings and often lack of constitutional or pulmonary involvement. Intense current and previous efforts into diagnostic, therapeutic, and preventive interventions have focused on pulmonary TB in adults, but TB arthritis has been relatively neglected. Additional research, understanding, and prevention of TB arthritis are urgently needed. In this article, we review the epidemiology, diagnosis, and principles of treatment of TB arthritis.



Tuberculosis; Tuberculosis arthritis; Diagnosis; Treatmen

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© 2014 Chen KT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.