Keywords:
Musculoskeletal, Musculoskeletal joint, CT, MR, Biopsy, Drainage, Abscess, Infection, Retrospective, Observational, Performed at one institution
Authors:
A. Kammoun, W. Feki, H. Fourati, E. Daoud, Z. Mnif; Sfax/TN
DOI:
10.26044/ecr2020/C-08321
Methods and materials
We performed a retrospective, descriptive study of patients hospitalized in universtity hospital « Hedi Chaker », Sfax, tunisia, between 2007 and 2019. We included all patients presenting with tuberculous monoarthritis of the native sacro-iliac joint.
We collected the following Data :
· Age, gender, antecedents (familial tuberculosis story, be treated for pulmonary tuberculosis or other…)
· Initial clinical presentation.
· Fever.
· Diagnostic delay.
Biological parameters such as ESR, tuberculosis skin test and Quantiferon-TB-Gold test were collected.
We also collected the following microbiological Data : Tubercle Bacilli isolated from high quality samples (Tubercle Bacilli test in sputum and urine, synovial fluid aspirate and/or abscess).
Radiological studies included bone scans, X-rays as well as computed tomography (CT) scans and Magnetic Resonance Imaging (MRI).
Abnormalities of joint space, joint margins, chondral bone blades and soft tissus were noted.
Other bone or extra bone manifestations were sought by clinical examination and radiological investigations.
We collected treatment duration and modalities.
Radiological changes after specific antibiotic treatment were reviewed.