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A Clinical Study of The Bone and Joint Tuberculosis in Childrens.

Journal of the Korean Pediatric Society 1982;25(11):1141-1149.
Published online November 30, 1982.
A Clinical Study of The Bone and Joint Tuberculosis in Childrens.
Byung Hwa Park, Jung Tae Kim, Byung Ryoung Lee, Tae Ju Hwang, Hyung Suk Byun, Chull Sohn
Department of Pediatrics,Chonnam National University Medical School9 Knangju,Korea
소아 골 관절결핵에 대한 임상적 고찰
박병화, 김정태, 이병룡, 황태주, 변형석, 손 철
전남대학교 의과대학 소아과학교실
.The following results were obtained through the clinical review of 153 cases of bone and joint tuberculosis which were treated at Mokpo Children’s T.B. Hospital during the period of 10 years from Jaunary 1971 till December 1980. 1. The bone and joint tuberculosis was 10.3% of total tuberculous children during the above period. 2. The peak incidence was noted in the group aged 1 〜3 years and 53.6% of all cases was under 6 years. 3. The most common involved sites were found in the spine which was 74.5% of total •cases, the lesser common sites were Hip(16.3%), Knee(3.9%), Elbow (1.3%), Ankle(1.3%), Tibia (0.7%), Humerus(0.7%), Hand(0.7%) and Foot(0.7%). 4. Boys were affected more than girls; the ratio of male to female was 1.22 ; 1. 5. The chief complaints on admission were vertebral bending(56.1%), walking and/or standing disturbance(32.7%), and local pain(27.5%), etc. 6. In the paraplegic groups, thoracic spine was the most commonly involved. 7. The vertebral lesions were observed at the level of 4th cervical to the 2nd sacral spine and the lesions were mainly on the lower thoracic and the lumbar vertebrae. 8. As the result of tuberculin skin test, 96.1% of total cases were noted as positive reac- tion with 17.5 mm in average diameter of induration. 9. The 34 cases(22.2%) had another tuberculous patients in the family, most of them were their parents. 10. The associated lesions elsewhere and major complications were pulmonary tuberculosis in 34.6% and cold abscess in 11.1%. 11. The positive rate of AFB in pus culture from fistula was 27.3%. 12. The treatment was, initially as a rule, done as triple therapy with INH, PAS (or Rifampin, Ethambutol) and SM. The common period of bone and joint stabilization on X-ray, after beginning of treatment, was 6〜9 months.. Two out of 153 cases was found to be relap- sed within 2 years, after cessation of therapy.
Key Words: Bone and Joint Tuberculosis

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