Endyt Purwandari and Makmuri and Retno Asih Setyoningrum and Landia Setiawati (2008) The Profile of Bone and Joint Tuberculosis in Soetomo Hospital 2003-2007. In: 14th Indonesian Congress of Pediatrics KONIKA 2008. Indonesian Pediatric Society-East Java Branch, Surabaya, pp. 1-4. ISBN 978-979-18092-1-4

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Abstract

Background: Bone and joint involvement is one of the commonets extra-pulmonary presentations of tuberculosis (TB). Objective: To describbe the profile of bone and joint tuberculosis in children. Methods: Medical records of children with TB of the bone and joint diagnosed during 2003-2007 in Pediatric and Orthopaedic Department of Soetomo hospital Surabaya were studied retrospectively. Results: Among fifty-one children, TB affected the spine (70.6%), coxae (9.8%), knee (9.8%), calcaneous (3.9%), ankle (2.0%), and osteomyelitis (3.9%). Most patients were diagnosed at age more than five year (52.1%), none were aged less than one year. Frequent symptoms complained were localized swelling of the bone (92.2%), fever (82.4%), weight lost (82.4%) and chronic cough (51%). Mean duration of symptoms prior to diagnosis was 9.2 months. Tuberculosis contact can be traced in 66.7% of patients. Most patients were moderately malnourished (51%);25.5% were severely malnourished. BCG scar was observed in 41,2% of patients. Tubecullin test and acid fast bacilli was positive in 58.8% and 9.8% of patients respectively. Result od twelve among fourteen biopsy specimen suggests TB. Tuberculosis score of at least six was found in 72.5% of patients. Lung TB accompanied 19.6% of cases. Inferior paraparesis occured in 11.8% of cases. Surgical procedure was done in 64.7% of patients. Twelve children (23.5%) are completing treatment, 25.5% completed treatment; and the rest was lost to follow up. Conclusion: Tuberculosis of the bone and joint mostly affect the spine. Patients were diagnosed late after initial symptoms. Many patients were lost to follow.

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