Tuberculosis of bones and joints among children: What has changed in the concept and strategy of a particular modern phthisiatry issue?
https://doi.org/10.34215/1609-1175-2021-1-24-27
Abstract
The lecture is devoted to the current approaches to diagnosing and treating tuberculosis of bones and joints among children. Issues of the evidentiary standards of the diagnosis "tuberculosis of bones and joints" and peculiarities of the skeletal-related event of anti-tuberculosis immunization are discussed. It is highlighted that according to WHO's recommendations tuberculosis can be considered as diagnosed, but not proved and also as diagnosed and verified. Diagnosis is considered verified when it has bacteriological proof. The specific character of the bone disorder can be diagnosed only by testing material from lesion. The surgical treatment of the tuberculosis of joints and bones among children should be as close as possible to the moment of diagnosing. After surgery chemotherapy is conducted taking into account verification of the pathogenic strains and its drug sensitivity. Thus tuberculosis of joints and bones among children requires two-level proof of the diagnosis, its stage-by-stage verification and syndrome-nosologic support.
About the Authors
A. Yu. Mushkin
Saint Petersburg Research Institute of Phthisiopulmonology; Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Aleksandr Yu. Mushkin, MD, PhD, professor, chief researcher.
2-4 Ligovsky Ave., Saint Petersburg, 191036
V. V. Petukhova
Saint Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Veronika V. Petukhova, MD, postgraduate student.
2-4 Ligovsky Ave., Saint Petersburg, 191036
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Review
For citations:
Mushkin A.Yu., Petukhova V.V. Tuberculosis of bones and joints among children: What has changed in the concept and strategy of a particular modern phthisiatry issue? Pacific Medical Journal. 2021;(1):24-27. (In Russ.) https://doi.org/10.34215/1609-1175-2021-1-24-27
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