1/7. An uncommon cause of foot ulcer: tuberculosis osteomyelitis.Tuberculous osteomyelitis is an uncommon infection that usually involves the vertebrae. An otherwise healthy young man with a chronic discharging sinus on his right foot caused by tuberculous osteomyelitis is described. The risk factors, clinical features, radiological findings, and investigations of tuberculous osteomyelitis are briefly reviewed. Tuberculous osteomyelitis usually runs an insidious course; emergency physicians should be aware of the possibility of tuberculous osteomyelitis especially when patients present with chronic unexplained musculoskeletal symptoms.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
2/7. Childhood tuberculosis presenting as an anterior chest wall abscess.Chest wall abscess is a rare manifestation of childhood tuberculosis. We report a case of a tuberculous chest wall abscess in a 4-year-old healthy girl who had received bacillus Calmette-Guerin (BCG) vaccination at birth. She developed a localized anterior chest wall mass, which was initially mistaken for enchondroma on the chest radiograph. Pathologic examination of the biopsy specimen revealed chronic granulomatous inflammation and positive acid-fast staining, which confirmed the diagnosis of chest wall tuberculosis infection. She received a 12-month course of anti-tuberculous treatment and was perfectly well 1 year later. The chest wall lesion resolved without the need for surgery. In conclusion, tuberculosis should be excluded in children with undiagnosed chest wall lesions, especially in endemic areas, even if they have been vaccinated with BCG. Adequate anti-tuberculosis treatment can result in a complete recovery.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
3/7. tuberculosis manifesting as multifocal lytic cortical lesions in the femur.tuberculosis remains a major international health problem despite advances in radiological diagnosis and antituberculous therapy. Disseminated tuberculous infection affecting a single bone and manifested as multifocal lytic cortical lesions is rare and unusual. We report on a 50-year-old man with multifocal involvement of the femur by tuberculosis and demonstrate positive reaction using tuberculosis-polymerase chain reaction on formalin-fixed, paraffin-embedded histological specimens.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
4/7. Multifocal osteoarticular tuberculosis: a case report.Osteoarticular tuberculosis is a quite uncommon form of extrapulmonary tuberculosis. Difficulties in diagnosis often lead to delayed treatment, sometimes with devastating consequences for patients. We report herein a case of multifocal osteoarticular tuberculosis of insidious onset with no history of prior health problems or constitutional signs and symptoms. Despite widespread osteoarticular involvement, the outcome of the patient was favorable after the management. Osteoarticular tuberculosis must be considered in patients with insidious musculoskeletal symptomatology.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
5/7. Tuberculous otitis in infants: temporal bone histopathology and clinical extrapolation.HYPOTHESIS: The study of infant temporal bones with tuberculosis (TB) of the middle ear and mastoid could provide information to assist with clinical diagnosis in this population. BACKGROUND: The TB pandemic has become a critical global public health problem. With the rising incidence of the disease, otolaryngologists might encounter an increased frequency of otologic TB. Pediatric temporal bone reports of TB are rare. methods: light microscopic examination was performed on both temporal bones from an infant who died as a result of miliary TB. RESULTS: The tympanic membranes were thickened with dilated blood vessels, yet were intact without perforations. Purulence, granulation tissue, and classic tubercles were observed in the middle ears and mastoids. Serous labyrinthitis and inflammatory cells surrounding the Cranial Nerve VIII in the internal auditory canal were observed in the inner ear. CONCLUSIONS: The histological findings suggest that a clinical presentation of infantile tuberculous otitis media and mastoiditis could be a patient with otoscopic findings consistent with common otitis media with an intact tympanic membrane, likely in conjunction with inner ear symptoms. Lacking the classic finding of multiple tympanic membrane perforations, tuberculous otitis might be underappreciated in this population.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
6/7. tuberculosis of the jaws.Two cases of tuberculosis of the jaws, one of tuberculous osteomyelitis and one of tuberculous granuloma, are presented. These lesions were the only manifestations of the disease in the patients, and the possibility that they were primary lesions is discussed. Although tuberculosis rarely affects the jaws, it should be considered in the differential diagnosis, since this disease, continues to be a health problem in both developed and underdeveloped countries.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |
7/7. Cystic tuberculosis of the bone mimicking osteogenic sarcoma.hong kong has a relatively high incidence of tuberculosis in comparison with other developed cities, possibly due to the influx of mainland Chinese immigrants and Vietnamese boat people. However, primary, solitary cystic tuberculous infection of the bone is rare and few cases have been reported. Radiological appearances of this disease can mimic several bone conditions, including bone cyst, osteoblastoma and even osteosarcoma. We report on a case of a healthy fifteen-year-old who presented with swelling to the left elbow; biopsy confirmed this as cystic tuberculosis of the bone.- - - - - - - - - - ranking = 1keywords = health (Clic here for more details about this article) |