Tuberculous arthritis

Causes and Risks:
Approximately 1% of people affected with tuberculosis will develop arthritis . The joints most frequently involved are the spine, hips, knees, wrists, and ankles. The hunchback of Notre Dame had a gibbous deformity (humpback) which was thought to be due to tuberculosis, a common cause of gibbous deformity.

The arthritis can be very destructive and lead to the collapse of the vertebrae. Muscle atrophy and muscle spasms can occur.

Prevention:
Control of tuberculosis infection can prevent tuberculous arthritis.

Symptoms:

Note: Onset is usually slow and may involve only one joint.

Signs and Tests:
A physical examination indicates joint inflammation .

Tests:



Treatment:
The treatment is to control the tuberculous infection with anti-tubercular medications. Analgesics and heat or cold to the joints may provide symptomatic relief of pain. Surgical treatment may be necessary.

Prognosis:
This form of arthritis can be very destructive to the tissues. Control of the infection should prevent further joint involvement; however, joint destruction may take place before the infection is controlled.

Complications:



Call Your Healthcare Provider:
Call your health care provider if symptoms of this disorder, or if other tuberculosis symptoms, are present.