Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Tuberculous osteomyelitis masked by concomitant staphylococcal infection.

J T Sinnott1, M R Cancio, M A Frankle

  • 1Division of Infectious and Tropical Diseases, University of South Florida College of Medicine, Tampa.

Archives of Internal Medicine
|September 1, 1990
PubMed
Summary

Diagnosing occult osseous tuberculosis requires careful evaluation. A bone protocol including histology and mycobacterial culture is effective, especially when staphylococcal osteomyelitis is present.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Large diaphyseal-incorporating allograft prosthetic composites: when, how, and why : Treatment of advanced proximal humeral bone loss.

Der Orthopade·2017
Same author

The dysplastic hip: not for the shallow surgeon.

The bone & joint journal·2013
Same author

Short stems for total hip arthroplasty: initial experience with the Fitmore stem.

The Journal of bone and joint surgery. British volume·2012
Same author

Use of smart trials for soft-tissue balancing in total knee replacement surgery.

The Journal of bone and joint surgery. British volume·2012
Same author

The treatment of deep shoulder infection and glenohumeral instability with debridement, reverse shoulder arthroplasty and postoperative antibiotics.

The Journal of bone and joint surgery. British volume·2008
Same author

Primary semi-constrained arthroplasty for chronic fracture-dislocations of the elbow.

The Journal of bone and joint surgery. British volume·2005

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Microbiology

Background:

  • Chronic osteomyelitis diagnosis can be challenging.
  • Staphylococcal osteomyelitis is a common presentation.
  • Tuberculous osteomyelitis can be occult and mimic other infections.

Observation:

  • A 14-month study evaluated 140 bone specimens using a systematic bone protocol.
  • Four patients with unsuspected tuberculous osteomyelitis were identified.
  • These cases were obscured by concomitant staphylococcal osteomyelitis.

Findings:

  • Three patients had axial skeleton involvement; one had femur involvement.
  • No patients had a history of tuberculosis or positive skin tests.
  • Histology revealed tuberculosis in one patient; mycobacterial culture identified it in three others.

Related Experiment Videos

Implications:

  • Concomitant osseous tuberculosis must be excluded in staphylococcal osteomyelitis cases.
  • The described bone protocol, including histology and Löwenstein-Jensen culture, is effective for diagnosing occult osseous tuberculosis.