Type:
Educational Exhibit
Keywords:
Tropical diseases, Infection, Diagnostic procedure, Digital radiography, CT, MR, Musculoskeletal spine, Musculoskeletal joint, Musculoskeletal bone
Authors:
C. Kakkar1, A. M. Polnaya2, C. M. shetty3, K. Rajagopal1, P. Koteshwara1, N. M. MULIMANI1, S. Sripathi4, V. R. K. Rao1; 1Manipal, Karnataka/IN, 2Mangalore, Karnataka/IN, 3manipal, ka/IN, 4Manipal/IN
DOI:
10.1594/ecr2011/C-0922
Imaging findings OR Procedure details
Patterns of spinal Involvement : Spondylitis and Spondylodiscitis ,
Discal sparing ,
posterior elements involvement .
Various forms can be paradiscal ,
central ,
subligamentous and neural arch tuberculosis.
Tubercular osteomyelitis : Difficult to distinguish from other causes of osteomyelitis.
Tubercular arthritis : Characteristic findings like Phemister’s triad,
late stages fibrous ankylosis can occur.
Tenosynovitis and bursitis:Compound palmar ganglion characterized by a swelling in the distal part of volar aspect of wrist and communicating with another swelling over palm across the flexor retinaculum.
Joint tuberculosis :
Tubercular arthritis or synovitis.
Sacroiliitis:
Unilateral involvement.On imaging may be indistinguishable from Brucellosis.
Multifocal tuberculosis:
Multifocal spondylitis or osteomyelitis.
Strong mimic of aggressive pathologies such as Langerhans cell histiocytosis ,
haematological and lymphoreticular malignancies in pediatric age group .In adults may be indistinguishable from secondaries or lymphoma.