Multifocal skeletal tuberculosis in children: a retrospective study of 18 cases.
Multifocal skeletal tuberculosis is an uncommonly reported entity, Unanimity on terminology is lacking in the literature. The article presents a series of 18 such patients encountered in our institution. All the patients were below 15 y of age. Male to female ratio was 13:5. Most of the cases presented with swellings, discharging sinuses and/or ulcers. Appendicular involvement was seen in 17 of these cases. All the cases were diagnosed histopathologically as tuberculosis. All the cases were treated with multi-drug anti-tubercular therapy with additional procedures such as incision and drainage or sinus tract curettage performed in 9 of the patients. All the lesions healed. Their clinical behaviour, result and outcome are analysed with available international literature.
Dhammi
Ish Kumar
IK
Department of Orthopaedics, University College of Medical Sciences, Guru Teg Bahadur Hospital, Shahdara, Delhi, India.
Jain
Anil Kumar
AK
Singh
Sandeep
S
Aggarwal
Aditya
A
Kumar
Sudhir
S
D000293:Adolescent; D017677:Age Distribution; D000995:Antitubercular Agents / Q000627:therapeutic use; D001842:Bone and Bones / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D017678:Sex Distribution; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology*
D000995:Antitubercular Agents