Bumbic S, Zegarac D, Lukac R
Chir Pediatr. 1978;19(2):93-9.
A group of sixteen children suffering from osteoarticular tuberculosis were seen over the past five years in the Belgrade Paediatric Surgery Clinic. This disease is now extremely rare and effects chiefly children born outside maternity departments and not receiving BCG vaccination at birth for different reasons. The osteoarticular tuberculosis rate in the Socialist Republic of Serbia over this period was thus one in 500,000 children. The disease is three times as common in male children, most often affecting the hip and presenting above all at about the age of nine. At the time of admission, eight children had tuberculosis lesions affecting the lungs, visible and active or latent, partially or completely. In five children, one of the parents was receiving treatment for active pulmonary tuberculosis at the time of onset of the disease. Conservative treatment (immobilisation, tuberculous bacteriostatic therapy and general measures) was used in fifteen children and only one underwent surgery, in addition to the standard treatment described. In only one child, there was ankylosis of the hip and the end of treatment, the others having less sequelae of returning completely to normal. In one girl, osteoarticular tuberculosis was complicated by exsudative tuberculosis pericarditis.
在过去五年中，贝尔格莱德儿科外科诊所接诊了16名患骨关节结核的儿童。这种疾病如今极为罕见，主要影响那些在产科以外出生且因各种原因出生时未接种卡介苗的儿童。在此期间，塞尔维亚社会主义共和国的骨关节结核发病率为每50万名儿童中有1例。该病在男童中更为常见，是女童的三倍，最常累及髋关节，发病年龄多在9岁左右。入院时，8名儿童有肺部结核病灶，可见且活跃或潜伏，部分或全部存在。5名儿童中，有一名家长在孩子发病时正在接受活动性肺结核治疗。15名儿童采用了保守治疗（固定、抗结核抑菌治疗及一般措施），除上述标准治疗外，只有1名儿童接受了手术。治疗结束时，只有1名儿童髋关节发生了强直，其他儿童后遗症较少，完全恢复了正常。一名女孩的骨关节结核并发了渗出性结核性心包炎。
