Symptoms of bone tuberculosis

Systemic reaction: there may be no obvious systemic symptoms in the early stage. Generally, there may be low fever, emaciation, loss of appetite, fatigue, night sweats and so on. In the active phase of the lesion, the systemic reaction is obvious, mental depression, poor appetite, low or irregular fever, night sweats, body mass decreases, emaciation is obvious, children cry at night, and the elderly may have symptoms of systemic insufficiency of other major organs.

Local symptoms: pain, cold abscess, flowing cold abscess sinus tract, deformity, paraplegia, dysfunction, postural abnormalities

How to check for bone tuberculosis?

1. Observe the history of the present illness: osteoarticular tuberculosis has a slow onset, the systemic symptoms are hidden, the patient may have a low-grade fever, lethargy, night sweats, loss of appetite and emaciation, etc. The patient may have a low-grade fever, lethargy, night sweats, loss of appetite and emaciation. There are only a few cases that present acute attacks with high fever around 39 degrees in addition to the above symptoms, which are easy to be confused with other acute infections. Previous or current concurrent tuberculosis, pleurisy, lymphatic tuberculosis or urinary system tuberculosis, etc., with a history of close contact with tuberculosis patients or family with tuberculosis patients, etc., will help in the diagnosis.　　

2. Imaging: mainly through X-ray, CT, nuclear magnetic **** vibration check the development of the disease. Through imaging, patients can find bone destruction, joint space narrowing, swelling of the surrounding soft tissues, in addition to the combination of infection and repair, bone sclerosis is rare; osteoarticular tuberculosis typical CT manifestations: multiple bone destruction, the edge around the edge of bone sclerosis, the formation of cold abscesses, some of the edges of the abscess can be seen in the calcification, enhancement of the edge of the edge of the ring row strengthening; soft tissue formation of calcification and dead bone; ? Typical MRI manifestations of spinal tuberculosis: vertebral bone destruction and vertebral osteitis, intervertebral space destruction, fissure-like enhancement, paravertebral and epidural abscesses, enhancement of the abscess wall was circular enhancement, the posterior longitudinal ligament was line-like enhancement .　

3. Laboratory diagnosis: mainly through the blood sedimentation, blood routine and tuberculosis culture test, to diagnose whether the patient's body has infected tuberculosis bacteria, to assist the diagnosis of bone tuberculosis. If the diagnosis cannot be confirmed, the patient can undergo tuberculosis culture and pathology biopsy, which can help to confirm the diagnosis.