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Bone and joint tuberculosis in Denmark.

B Autzen1, J J Elberg

  • 1Department of Pulmonary Medicine, Aabenraa County Hospital, Denmark.

Acta Orthopaedica Scandinavica
|February 1, 1988
PubMed
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Bone and joint tuberculosis incidence remained stable in Denmark (1980-1984), unlike other tuberculosis forms. Young immigrants and elderly natives were most affected, with spinal and hip lesions being common.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Orthopedics

Background:

  • Tuberculosis (TB) incidence has generally declined in developed countries.
  • Bone and joint tuberculosis (Skeletal TB) represents a significant portion of extrapulmonary TB.
  • Understanding demographic and clinical patterns of Skeletal TB is crucial for targeted public health interventions.

Purpose of the Study:

  • To analyze the epidemiologic trends of bone and joint tuberculosis in Denmark between 1980 and 1984.
  • To identify demographic risk factors and common sites of Skeletal TB.
  • To compare Skeletal TB trends with other forms of tuberculosis during the study period.

Main Methods:

  • Retrospective analysis of 100 reported cases of bone and joint tuberculosis in Denmark from 1980 to 1984.

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  • Data collection included patient demographics, geographic origin, age, affected skeletal sites, and history of pulmonary tuberculosis.
  • Incidence rates were calculated and compared across different population groups and time periods.

    • Main Results:

    • The annual incidence of Skeletal TB remained constant during 1980-1984, contrasting with a decreasing trend in other TB forms.
    • Young, first-generation immigrants, particularly from Asia, accounted for 18% of cases.
    • In the native Danish population, Skeletal TB predominantly affected the elderly. Spinal and hip lesions were most frequent, and 30% of patients had a prior history of pulmonary tuberculosis.

    Conclusions:

    • Skeletal tuberculosis in Denmark showed a distinct epidemiologic pattern compared to other TB forms during 1980-1984.
    • Immigrant populations and the elderly represent key demographic groups at risk for bone and joint tuberculosis.
    • Targeted surveillance and prevention strategies may be necessary for high-risk populations and specific skeletal sites.