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Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
E
xtrapulmonarytuberculosisforms15%oftotaltuberculosis
in India. Skeletal tuberculosis which constitutes bone
and joint tuberculosis, results from haematogenous spread
from a pulmonary or other visceral or lymph node focus.
Tuberculosis osteomyelitis was described by Nelatoo (1837);
histologic morphology was given by Rokitansky (1884);
tuberculosis nodule in a joint was seen by Koster (1869);
and synovial tuberculosis by Volkmann (1879). Case No.1: A
case of shoulder joint tuberculosis which was relatively rare
was diagnosed in a middle-aged farmer after taking proper
history of pain and inability to move. He was investigated
appropriately with radiological images and the case
eventually responded to the anti-tuberculosis treatment.
Case No.2: A case of rib osteomyelitis was diagnosed when
the young lady had only a complaint of pain in lower chest
right side. The diagnosis of TB was reached after she had
empyema and the same pus was tested for TB DNA. The
decrease in pain and relieve of symptoms noticed after the
initiation of treatment with anti-tuberculous treatment. She
had surgical intervention for the same. Case No.3: A young
lady complained of pain and swelling in left wrist for a long
duration. MRI showed bone marrow oedema in distal row of
carpal bones with loss of articular cartilage and small erosion
noted in trapezoid, base of metacarpal and capitates and
base of third metacarpal joint. The diagnosis of tuberculosis
was supported with immunoglobulin releasing assay (IGRA)
which was positive. Anti-tuberculous drugs were given, and
she responded well. Case No.4: A middle aged man who
was suffering from low back ache from three years had
been diagnosed as Potts spine at L5–S1 with the help of MRI
spine. He was started with anti-tuberculosis drugs and he
responded well. All the cases were also worked up primary
pulmonary involvement but found in none.
Speaker Biography
C Sumalata has completed her MBBS from Sri Venkateswara Medical College, Tirupathi,
Andhra Pradesh, India in 2008 and MD in Pulmonary Medicine from Siddhartha
Medical College in 2015. She is a qualified Medical Practitioner with specialization in
treating pulmonary and chest related ailments. She was very good at academics and
participated in many quiz competitions. She also has experience in teaching at National
Conferences and training undergraduate residents in medical courses. Her areas of
interest included Interventional Pulmonology and Tuberculosis. She volunteered in
many public events. She had been a Facilitator for trainings in National programmes to
Medical Officers and Field Staff working at Ground level. Her areas of interest led her
to participate in many respiratory National Conferences, trainings, continuous medical
education (CME) and conferences. Presently, she is working as State TB Epidemiologist,
State TB Training and Demonstration Centre, Hyderabad, Telangana, India. She has
publications in several journals and most of them constitute case reports.
e:
drsumachittiboyina@gmail.comSkeletal tuberculosis: Review of literature and few case reports
C Sumalata
State TB Training and Demonstration Centre, India