"Insidious destruction of the hip by Mycobacterium tuberculosis and why" by J S Silber, S B Whitfield et al.
 

Insidious destruction of the hip by Mycobacterium tuberculosis and why early diagnosis is critical.

Publication/Presentation Date

4-1-2000

Abstract

Tuberculosis has re-emerged as an important problem in the United States. More than 10 million people presently are infected with Mycobacterium tuberculosis in the United States alone. The symptoms at first presentation of the disease have become more diverse. With extrapulmonary manifestations, such as musculoskeletal infections, as the sole presenting sign, it often can be difficult to determine the correct diagnosis early in the course of the disease. The presenting symptoms, physical signs, and radiographic findings of intra-articular tuberculosis can mimic those of other intra-articular diseases, such as rheumatoid arthritis, osteoarthritis, and avascular necrosis. In view of the nonspecific findings early in course of the disease, tubercular infection should be considered in the differential diagnosis when there is insidious articular destruction. Failure to consider tuberculosis can lead to devastating outcomes otherwise preventable with today's chemotherapies.

Volume

15

Issue

3

First Page

392

Last Page

397

ISSN

0883-5403

Disciplines

Medicine and Health Sciences

PubMedID

10794239

Department(s)

Department of Surgery

Document Type

Article

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