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Peripheral osteoarticular tuberculosis in children: 106 case-reports
Youssef Teklali1, Zouheir Fellous El Alami, Tarik El Madhi
1Pediatric Orthopedics Department, Children's Hospital, Rabat, Morocco. youtek@hotmail.com
Joint Bone Spine
|September 3, 2003
Summary
Pediatric osteoarticular tuberculosis (OAT) often causes disability, with diagnosis delayed by 10 months. Early OAT recognition and treatment in children are crucial for full recovery and preventing lasting joint damage.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
- Radiology
Background:
- Retrospective review of 106 pediatric peripheral osteoarticular tuberculosis (OAT) cases over 21 years in Morocco.
- Exclusion of vertebral tuberculosis cases to focus on peripheral joint and bone involvement.
Observation:
- Mean patient age was 8 years (55 boys, 51 girls).
- Hip and knee were the most commonly affected sites (63%).
- Organ involvement occurred in 32 cases, with a mean diagnostic delay of 10 months.
Findings:
- Diagnostic delay led to a 22% rate of residual abnormalities.
- Common residual issues included joint ankylosis and leg length inequality.
Implications:
- Osteoarticular tuberculosis (OAT) is a significant cause of functional disability in children.
- Prompt diagnosis and management of pediatric OAT are essential for achieving full recovery.
- Early intervention can prevent long-term sequelae such as joint stiffness and limb length discrepancies.