Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan


Objective: To describe paraclinical, therapeutic and evolutionary aspects of osteoarticular tuberculosis in Abidjan. Materials and Method: We realized a descriptive retrospective study carried out in the Rheumatology Department of the University Hospital Center of Cocody in Abidjan about 550 patients over a period of 10 years from January 2004 to December 2013. The paraclinical, therapeutic and evolutionary data had interested us. Results: Osteoarticular tuberculosis represented 12.13% of 4531 rheumatic diseases identified during the study period. The tuberculin skin test was positive in 78.49% of cases. An inflammatory syndrome was present with erythrocyte sedimentation rate and C-reactive protein respectively into 69.45% and 76.54% of cases. The research of Mycobacterium tuberculosis was realized into 176 of cases which 50% was positive. Polymerase chain reaction and biopsy of tissue were performed respectively in 8 and 6 cases. Plain radiography (89.82%) and computed tomography (83.63%) were the most realized imaging. Computed tomography has contributed for the diagnostic in 99.78% of cases. The majority of our patients (82.91%) received anti-tuberculous treatment which consisted of two months of combination of rifampicin (R), isoniazid (H), pyrazinamide (Z) and Ethambutol (E) (2RHZE), followed by 10 months of rifampicin (R) and isoniazid (H) (10 RH). The outcome in patients on this treatment was favorable in 528 cases (96%). Conclusion: This study revealed that the research of Mycobacterium tuberculosis was often realized and positive. On the contrary, polymerase chain reaction and biopsy of tissue were rarely performed. The main imaging is computed tomography. Our protocol of treatment is effective.

Share and Cite:

Diomandé, M. , Kaboré, F. , Kouakou, E. , Gbané-Koné, M. , Coulibaly, A. , Djaha, K. , Ouattara, B. , Eti, E. , Daboiko, J. and Kouakou, M. (2015) Paraclinical, Therapeutic and Evolutionary Profile of Osteoarticular Tuberculosis: A Report about 550 Cases in Abidjan. Open Journal of Rheumatology and Autoimmune Diseases, 5, 131-136. doi: 10.4236/ojra.2015.54021.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Harmouche, H. and Ammouri, W. (2009) Tuberculosis and HIV Coinfection. Revue de Médecine Interne, 30, S273- S276.
[2] World Health Organisation (WHO) (2014) Cooperation WHO-Côte d’Ivoire. Biennial Report 2012-2013, 21-22.
[3] Evanchick, C.C., Davis, D.E. and Harrington, T.M. (1986) Tuberculosis of Peripheral Joints: An Often Missed Diagnosis. The Journal of Rheumatology, 13, 187-189.
[4] Monach, P.A., Daily, J.P., Rodriguez-Herrera, G. and Solomon, D.H. (2003) Tuberculous Osteomyelitis Presenting as Shoulder Pain. The Journal of Rheumatology, 30, 851-856.
[5] Tuli, S.M. (2002) General Principles of Osteoarticular Tuberculosis. Clinical Orthopaedics and Related Research, 398, 11-19.
[6] Houshian, S., Poulsen, S. and Riegels-Nilesen, P. (2000) Bone and Joint Tuberculosis in Denmark. Increase Due to Immigration. Acta Orthopaedica Scandinavica, 71, 312-315.
[7] Pertuiset, E., Beaudreuil, J., Horusitzky, A., Lioté, F., Kemiche, F. and Richette, P. (1997) Epidemiologic Patterns of Bone and Joint Tuberculosis in Adults: A Restrospective Study of 206 Cases Diagnosed in the Paris Area from 1980 to 1994. La Presse Médicale, 26, 311-315.
[8] Watts, H.G. and Lifeso, R.M. (1996) Tuberculosis of Bone and Joints. The Journal of Bone Joint Surgery American Volume, 78A, 288-298.
[9] Benbouazza, K., El Maghraoui, A., Lazrak, N., Bezza, A., Allali, F. and Hassouni, F. (1999) Diagnosis of Osteoarticular Tuberculosis. A Review of 120 Cases Managed in a Rheumatology Department. La Semaine des Hôpitaux de Paris, 75, 1057-1064.
[10] Eti, E., Daboiko, J.C., Brou, K.F., Ouali, B., Koffi, K.D. and Kouakou, N.M. (2010) Vertebral Tuberculosis: Our Experience from a Study of 147 Cases in the Rheumatology Department of the University Hospital of Cocody, Abidjan, Ivory Coast. Médecine d’Afrique Noire, 57, 287-292.
[11] Maftat, M., Lmejjati, M., Mansouri, A., El Abbadi, N. and Bellakhdar, F. (2001) Pott’s Disease: Report of 320 Cases. Médecine du Maghreb, 90, 19-22.
[12] Fedoul, B., Chakour, K. and El Faiz Chaoui, M. (2011) Pott’s Diseases: Report of 82 Cases. Pan African Medical Journal, 8, 22.
[13] Mariconda, M., Cozzolino, A., Attingenti, P., Cozzolino, F. and Milano, C. (2007) Osteoarticular Tuberculosis in a Developed Country. Journal of Infection, 54, 375-380.
[14] Pertuiset, E. (2004) Tuberculose osseuse et articulaire des membres. Encyclopédie Médico-Chirurgicale Rhumatologie Orthopédie, 1, 463-486.
[15] Toloba, Y., Diallo, S., Maiga, Y., Sissoko, B.F., Ouattara, K. and Soumare, D. (2011) Spinal Tuberculosis (Pott’s Disease): Epidemiological, Clinical, Radiological and Evolutionary Aspects at University Hospital Center of Point G. Mali Médical, 26, 8-11.
[16] Oniankitan, O., Bagayogo, Y., Fianyo, E., Koffi-Tessio, V., Kakpovi, K. and Tagbor, K.C. (2009) Spondylodiscitis at a Hospital Outpatient Clinic in Lome, Togo. Médecine Tropicale, 69, 581-582.
[17] Millogo, A., Ki-zerbo, G.A., Bamouni, A., Sawadogo, A., Sawadogo, A.P. and Lankoande, D. (2002) Pott’s Disease: A 32 Case Report in Bobo-Dioulasso Hospital (Burkina Faso). Médecine d’Afrique Noire, 49, 142-145.
[18] Ouattara, B., Ouédraogo, D., Daboiko, J.C., Boidy, T., Ouali, B. and Eti, E. (2004) Pott’s Disease in Cocody University Medical Center (Abidjan): About 93 Cases. Afrique Biomédicale, 9, 4-8.
[19] Daboiko, J.C., Ouédraogo, D., Eti, E., Nikiema, J.F., Gbané, M. and Kouakou, N.M. (2005) Limbs Osteoarticular Tuberculosis: About 16 Cases. Médecine d’Afrique Noire, 52, 329-332.
[20] Boussel, I., Marchand, B., Blineau, N., Pariset, C., Hermier, M. and Picaud, G. (2002) Imaging of Musculoskeletal Tuberculosis. Journal de Radiologie, 83, 1025-1034.
[21] Lemaitre, F., Damadel, R., Pouchot, J., Barge, J., Boussougant, Y. and Vinceneux, P. (1995) Local Sample for the Diagnosis of Osteoarticular Tuberculosis. Revue de Médecine Interne, 16, 191-194.
[22] Ben Taarit, C., Turki, S. and Ben Maïz, H. (2003) Bone and Joint Tuberculosis in Tunisia: A Retrospective Study of 180 Cases. Médecine et Maladies Infectieuses, 33, 210-214.
[23] Rafiqi, K., Yousri, B., Arihi, M., Bjitro, C., Aboumaarouf, M. and El Andaloussi, M. (2013) Unusual Locations of Osteoarticular Tuberculosis in Children: A Report of 12 Cases. Orthopaedic and Traumatology, Surgery and Research, 99, 347-351.
[24] Pertuiset, E. (2006) Extraspinal Osteoarticular Tuberculosis. Revue du Rhumatisme, 73, 387-393.
[25] Hsu, S.H., Sun, J.S. and Chen, I.H. (1993) Reappraisal of Skeletal Tuberculosis: Role of Radiological Imaging. Journal of Formosan Medical Association, 92, 34-41.
[26] Teklali, Y., Fellous El Alami, Z., El Madhi, T., Gourinda, H. and Miri, A. (2003) Peripheral Osteoarticular Tuberculosis in Children: 106 Case Reports. Joint Bone Spine, 70, 595-599.
[27] Garcia, S., Combalia, A., Serra, A. and Segur, J.M. (1997) Unusual Locations of Osteoarticular Tuberculosis. Archives of Orthopaedics Trauma Surgery, 116, 321-323.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.