EPTB, extra pulmonary TB, management of tuberculosis, spin tb, other site of tb, primary site of tb, drugs of tuberculosis, side efect of tuberculosis, bones and joints tb, treatment protocol of tb , spinal tb, potts disease.
3. SITES OF EPTB
• Extra pulmonary TB can occurs in multiple site with relative
frequencies of –
• LYMPHNODE – 42%
• PLEURA – 18%
• BONES & JOINTS – 12%
• GENITOUTERINE – 6%
• MENINGEAL – 6%
• PERITONEAL – 5%
• OTHERS – 11%
4. SIGNS AND SYMPTOMS :-
• LYMPHNODE –
• Painless enlarged cervical lymphadenopathy with or without sinus
formation.
• BONES AND JOINTS –
• Non-painful or painful enlarged joint
• Unable to walk or movement
• LBP
• Deformity
• MENINGES –
• Raised intracranial pressure
• Raised temperature
6. BONES AND JOINTS TB
• Weight bearing joints are mostly
affected. Tuberculosis of the hip
joints causes pain and limping. TB
of the knee produces pain and
swelling. A history of previous
trauma is often elicited.
Radiological abnormalities include
bone erosions, joint space
narrowing, and ultimately joint
destruction. Diagnosis requires
synovial biapsy
7.
8. Spinal TB (pott’s diseases)
• The sites most commonly involved are the lower thoracic
vertebrae and upper lumbar spine but the cervical spine can
also be affected. TB starts in an intervertebral disc and spreads
along the anterior and longitudinal ligaments, before involving
the adjacent vertebral bodies. With advanced disease, collapse
of vertebral bodies‟ results in kyphosis (gibbus). A para-vertebral
cold abscess may also form.
• The typical appearance is erosion of the anterior edges of the
superior and inferior borders of adjacent vertebral bodies. The
disc space is narrowed. CT scan or MRI reveals the lesions
more correctly. Aspiration of the abscess or bone biopsy
confirms the tuberculosis etiology by histopathology and culture.
