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Related Experiment Videos

Skeletal tuberculosis in children.

Harvey E L Teo1, Wilfred C G Peh

  • 1Department of Diagnostic Imaging, Kandang Kerbau Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore. eteo@kkh.com.sg

Pediatric Radiology
|July 28, 2004
PubMed
Summary
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Skeletal radiology·2024

Pediatric skeletal tuberculosis imaging reveals common patterns like spondylitis, arthritis, and osteomyelitis. Radiography, CT, and MRI are crucial for diagnosing these bone infections in children.

Area of Science:

  • Pediatric Radiology
  • Infectious Diseases
  • Skeletal Imaging

Background:

  • Tuberculosis (TB) incidence is rising globally.
  • Skeletal TB constitutes 10-20% of all extrapulmonary TB cases.
  • Early and accurate diagnosis of pediatric skeletal TB is vital.

Purpose of the Study:

  • To review and present the characteristic imaging findings of skeletal tuberculosis in children.
  • To highlight the utility of various imaging modalities in diagnosing pediatric skeletal TB.
  • To differentiate common presentations of skeletal TB in pediatric patients.

Main Methods:

  • Review of imaging findings in pediatric skeletal tuberculosis.
  • Discussion of radiographic, ultrasonographic, CT, and MRI features.

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  • Correlation of imaging findings with disease manifestations.

    • Main Results:

    • Common pediatric skeletal TB manifestations include spondylitis, arthritis, and osteomyelitis.
    • Tuberculous spondylitis may show disc involvement late, with potential for skip lesions and paravertebral spread.
    • Tuberculous osteomyelitis presents as cystic or infiltrative lesions, including spina ventosa.

    Conclusions:

    • Radiographs remain essential for initial evaluation of bony lesions.
    • CT is valuable for assessing bony destruction, especially in the spine.
    • MRI is superior for detecting early marrow involvement and soft-tissue extension.