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Chapter-040 The Organism and its Sensitivity

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Tuli SM
ISBN
9789385891052
DOI
10.5005/jp/books/12869_41
Edition
3/e
Publishing Year
2016
Pages
1
Author Affiliations
1. Banaras Hindu University, Varanasi, India, University College of Medical Science and Guru Teg Bahadur Hospital, New Delhi, Delhi University College of Medical Sciences and GTB Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nehru Nagar, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, New Delhi, India, Vimhans PrimaMed Super Speciality Hospital, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Nayati Medical Institutes, New Delhi, India, Vidyasagar Institute of Mental Health and Neurosciences, Vimhans Nayati Superspeciality Hospital, New Delhi, India
Chapter keywords
mycobacterium tuberculosis, mycobacteria, osteoarticular tuberculosis, skeletal tuberculosis, orthopedics, INH, PAS, HIV

Abstract

This chapter discusses the organism and its sensitivity. Formerly, 85% of the cases of skeletal tuberculosis under the age of 10 years were considered due to bovine bacilli. Most of the skeletal tuberculosis is now caused by bacilli of human type. The term nontypical mycobacteria refer to mycobacteria other than M. tuberculosis and M. Bovis. Rarely these organisms may be responsible for infective lesions in the skeletal system. Synovial sheath infections are more common with nontypical mycobacteria than infection of osseous tissues. Disease caused by nontypical mycobacteria and emergence of multidrug-resistant strains is an alarming and common observation seen in tuberculous disease in HIV patients.

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