BONE AND JOINT TUBERCULOSIS IN IMAM KHOMEINI HOSPITAL TEHRAN, 1372-1375

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TARAMIAN S.

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Journal: Journal of Guilan University of Medical Sciences Year:2001 | Volume:9 | Issue:35-36 Page(s): 58-63

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Title

BONE AND JOINT TUBERCULOSIS IN IMAM KHOMEINI HOSPITAL TEHRAN, 1372-1375

Author(s)

TARAMIAN S. | Issue Writer Certificate

Keywords

TUBERCULOSISQ3

TUBERCULOSISQ4

OSTEOARTICULARQ4

Abstract

TUBERCULOSIS is a major health problem in the world, which causes considerable mortality and morbidity. In a prospective-descriptive study, a group of patients with diagnosis of bone and joint TUBERCULOSIS on the basis of the clinical symptoms, signs and preclinical data with positive PPD and negative Wright tests, were examined in Imam Khomeini Hospital (Infectious Disease and Orthopedic Departments) from the clinical, microbiologic and therapeutical points of view. From 481 patients who was treating for TUBERCULOSIS, 13% had the above conditions. The age of the most was between 10-27 (min. 12 and max. 87 years). Complains, were often vague and mild and less attracts attention of the patient or physician. Besides prolonged Low Back Pain, there were tolerable pain and joint's movement limitation (first knee, then thigh). There were systemic signs as night sweats, fever and weight loss, which seemed unimportant. There were 65% collapse between two vertebrae, %6 of cases had multiple involvement of the skeleton and %11 of them had local fistulas. The duration of the illness (as mentioned by the symptoms) was mostly about 6 months or less. 66% had granuloma, showing a central area of caseation, epitheliod cells, lymphocytes and multinucleate giant cells in synovial biopsies of the joints and only one case had positive biopsy culture of the synovium for Mycobacterium TUBERCULOSIS. X-Rays revealed nonspecific findings with no paranchymal involvement in Chest X-Rays. None needed surgery. As TUBERCULOSIS is endemic in Iran and regarding 12 months prescriled chemotherapy for our patients, despite their irregular and uncomplete consult (56% of patients had only one cosuit) and as a few patients who consult regularly feel better and their signs and X-Rays improved. We may consider bone and joint TUBERCULOSIS, when there is a strong evidence, as regards other possibilities and start the medical management.

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APA: Copy

TARAMIAN, S.. (2001). BONE AND JOINT TUBERCULOSIS IN IMAM KHOMEINI HOSPITAL TEHRAN, 1372-1375. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, 9(35-36), 58-63. SID. https://sid.ir/paper/40031/en

Vancouver: Copy

TARAMIAN S.. BONE AND JOINT TUBERCULOSIS IN IMAM KHOMEINI HOSPITAL TEHRAN, 1372-1375. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2001;9(35-36):58-63. Available from: https://sid.ir/paper/40031/en

IEEE: Copy

S. TARAMIAN, “BONE AND JOINT TUBERCULOSIS IN IMAM KHOMEINI HOSPITAL TEHRAN, 1372-1375,” JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, vol. 9, no. 35-36, pp. 58–63, 2001, [Online]. Available: https://sid.ir/paper/40031/en

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