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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.
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