Keywords:
Imaging sequences, Treatment effects, Education, MR, Digital radiography, CT, Musculoskeletal system, Emergency, Extremities, Infection, Inflammation, Acute
Authors:
A. Agahi 1, R. Wheeler2; 1London /UK, 2London/UK
DOI:
10.26044/essr2019/P-0086
Background
London has been described as the tuberculosis capital of Europe.
Our tertiary referral centre serves boroughs with a high prevelance of tuberculosis,
where patients present with advanced disease.
Within Europe there has been a rise in the prevelance of tuberculosis and multidrug resistant tuberculosis largely due to migration,
socioeconomic factors and immunosuppression.
Tuberculosis can present as pulmonary or less commonly extrapulmonary disease.
Extrapulmonary manifestations occur in an estimated 25% of patients and less than 5% will present with musculoskeletal disease.
Concomitant active pulmonary and musculoskeletal disease is extremely rare,
further lowering the clincal index of suspicion.
Spondylitis is the commonest musculoskeletal manifestation.
Extra-spinal manifestations are less frequently observed and have a prediliction for joints and periarticular surfaces.
Presentation includes spondylodiscitis,
arthritis,
tenosynovitis,
bursitis,
osteomyelitis,
pyomyositis or isolated soft tissue involvement.