Learning objectives
To discuss and illustrate the radiological manifestations of extrapulmonary tuberculosis (EPTB) in a series of 20 patients.
Background
Tuberculosis (TB),
discovered in 1882 by Robert Koch,
is considered by some as the most common infectious-contagious disease in the world.
Although its incidence has been on the decline since 2002,
among the 8.8 million cases of tuberculosis reported worldwide in 2010,
an estimated 418 000 individuals were located in the European Region.
Undoubtedly the disease still remains a major threat despite control efforts and its resurgence in the mid 90´s has been mainly attributed to different causes,
such as increased global migrations,
Human Immunodeficiency...
Imaging findings OR Procedure details
We revised the patients with proven EPTB in a retrospective 10-year (2002-2012) study performed in our hospital.
We retrieved 20 patients with microbiologically confirmed EPTB and we performed a posterior revision of their imaging data and clinical histories.
We present a pictorial review of different locations of EPTB,
according to our experience: 9 tuberculous lymphadenitis,
2 central nervous system (CNS) TB,
3 urinary TB,
1 tuberculous pericarditis,
3 musculoskeletal TB (2 spondylitis and 1 arthritis),
1 splenic TB,
and 1 gastrointestinal TB.
Tuberculous Lymphadenitis
Lymphadenitis...
Conclusion
Tuberculosis can affect any organ system in the body and can be devastating if left untreated.
The unusual finding of extrapulmonary tuberculosis (EPTB) can mimic numerous other disease entities.The radiological imaging plays an important role in identifying EPTB patients.
A high degree of clinical suspicion and familiarity with the various radiologic manifestations of EPTB might be helpful for the exact diagnosis.
Early diagnosis and appropriate treatment are the only effective tools in order to diminish transmission and lead towards gradual disease elimination.
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