Problems in Diagnosing Osteoarticular Tuberculosis

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Abstract
Five patients with osteoarticular tuberculosis were presented as diagnostic problems because each was initially thought to have some other disease. Several factors were cited as reasons for the delay, including unusual sites of involvement, the lack of detectable pulmonary involvement, secondary pyogenic infections, and the absence of classical roentgenographic signs. A more general factor is attributable to a decrease in the incidence of tuberculosis in this country and alterations in the method of handling patients with this disease. In addition, there has been some evidence, supported by these cases, that the pattern of osteoarticular tuberculosis may be changing.

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