The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Extrapulmonary Tuberculosis: Pathophysiology and Imaging Findings
Abstract
Extrapulmonary tuberculosis (TB) represents approximately 15% of all TB infections. It is difficult to diagnose on the basis of imaging characteristics and clinical symptoms, and biopsy is required in many cases. Radiologists must be aware of the imaging findings of extrapulmonary TB to identify the condition in high-risk patients, even in the absence of active pulmonary infection. In extrapulmonary TB, the lymphatic system is most frequently affected. The presence of necrotic lymph nodes and other organ-specific imaging features increases the diagnostic probability of extrapulmonary TB. Disseminated infection and central nervous system involvement are the most frequent manifestations in immunosuppressed patients. Renal disease can occur in immunocompetent patients with very long latency periods between the primary pulmonary infection and genitourinary involvement. In several cases, gastrointestinal, solid-organ, and peritoneal TB show nonspecific imaging findings. Tuberculous spondylitis is the most frequent musculoskeletal manifestation. It is usually diagnosed late and affects multiple vertebral segments with extensive paraspinal abscess. Articular disease is the second most frequent musculoskeletal manifestation, and synovitis is its predominant imaging finding. ©RSNA, 2019
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“The results of a meta-analysis showed that EPTB represents almost 15% of TB cases, and approximately 10–35% of cases can be found in the head and neck region, most frequently in lymph nodes (87.9%), the other most common location being the larynx [23,26,27].”
From Head and Neck Tuberculosis: A Rare Diagnosis and the Role of Surgical Biopsy and Histopathological Evaluation in Extrapulmonary Disease (2025) · cites this paper as [26]
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Tran, D., Patel, K., Ashfaq, A., & Lyons, B. (2023) · Cureus · doi:10.7759/cureus.50002 · Cited by 1
Two cases of testicular tuberculosis in HIV patients with distinct clinical presentations
Farias, L. A. B. G., Vitoriano, F. E. S., Ribeiro, C. K. B., de Matos, M. D. F. M., Neto, L. V. P., & Neto, R. D. J. P. (2023) · Tropical Doctor · doi:10.1177/00494755231220400 · Cited by 1
Extraspinal Osteoarticular Tuberculosis: A Diagnostic and Therapeutic Challenge
Bouaicha, W., Nouicer, S., Jlidi, M., Chaâbane, I., Bachrouch, S., Tounsi, H., Mallek, K., & Daas, S. (2023) · International Journal of Mycobacteriology · doi:10.4103/ijmy.ijmy_154_23 · Cited by 1
Ughreja, R., Bhatt, V., Shah, S. R., & Boxa, D. (2023) · European Journal of Translational and Clinical Medicine · doi:10.31373/ejtcm/175674 · Cited by 1
“Although M. tuberculosis typically infects the lungs and causes pulmonary TB, it can also spread to other bodily areas, including the kidney, spine, and brain, where it can cause extrapulmonary TB [10].”
BackgroundCerebral Tuberculosis After Therapy With Adalimumab for Hidradenitis Suppurativa: A Rare Case
Martins, F., Rodrigues, A. S. D. C., Oliveira, J. N., Malheiro, R., & Cerqueira, L. M. G. (2024) · Cureus · doi:10.7759/cureus.52267 · Cited by 1
“Intra-axial manifestations encompass intracranial tuberculous granuloma (tuberculoma), focal tuberculous cerebritis, intracranial tuberculous abscess, tuberculous rhombencephalitis, and tuberculous encephalopathy [18].”
BackgroundHolka, H. H., Веснін, В. В., Burlaka, V. V., Oliynyk, A. O., Фадєєв, О., Hoptsii, O. V., & FROLOVA-ROMANIUK, E. Y. (2024) · Tuberculosis Lung Diseases HIV Infection · doi:10.30978/tb2024-1-58 · Cited by 1
Breast Tuberculosis in Iran: A Comprehensive Review
Babamahmoodi, F., Babamahmoodi, A., Barzegar, R., Sadr, M., Rezaei, M. S., & Marjani, M. (2024) · International Journal of Mycobacteriology · doi:10.4103/ijmy.ijmy_32_24 · Cited by 1
Tuberculosis of central nervous system
Urs, V. L., Kumar, N., & Garg, R. K. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95735-9.00042-5 · Cited by 1
Luo, Y., Yang, X., Zhou, J. M., Pu, S., & Wang, Y. (2024) · Frontiers in Pediatrics · doi:10.3389/fped.2024.1454657 · Cited by 1
Reactive arthritis in connective tissue diseases; one should be vigilant for joint tuberculosis
Qian-Ying, L., & Yao, C. (2024) · Tropical Doctor · doi:10.1177/00494755241293186 · Cited by 1
Peritoneal tuberculosis: the diagnostic challenge must not preclude treatment
Correia, I., Costa, R., Madeira, J. I. M., & Fonseca, I. (2024) · BMJ Case Reports · doi:10.1136/bcr-2024-263066 · Cited by 1
Overview and Classification of Infections of the Bone, Joints and Soft Tissues
Peh, W., & Ladeb, M. F. (2025) · Medical radiology · doi:10.1007/978-3-031-93638-8_1 · Cited by 1
Tuberculous Spondylitis in a Woman without Pulmonary Lesions
Morita, S., Takada, T., Ohashi, K., & Terai, S. (2021) · Internal Medicine · doi:10.2169/internalmedicine.5054-20 · Cited by 1
“It typically occurs due to hematogenous spread from pulmonary tuberculosis but can sometimes occur in individuals without a history of pulmonary tuberculosis (1, 2).”
BackgroundQuan, X., Tai, Y., Wei, B., Tong, H., Wang, Z., Yang, Y., & Wu, H. M. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.778672 · Cited by 1
Imaging of Pulmonary Infections
Byrne, S. C., Hammer, M. M., & Thomas, R. (2022) · Springer eBooks · doi:10.1007/978-3-030-92111-8_18 · Cited by 1
Wang, Y., Wen, J., Kong, C., Xu, Z., Hu, S., Li, M., Wang, X., Zhang, H., Jia, X., Ding, Q., et al. (2023) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims-22-229 · Cited by 1
“…Sunnyvale, CA, USA) urine assay, body fluid, secretion or tissue smear results (45); and (II) histopathological sections showing granulomatous inflammation, caseous necrosis in the center, Langhans cells in the periphery, and lymphocytes and fibrous connective tissue in the periphery (46).”
Tuberculosis Extrapulmonar En Mama, A Propósito De Un Caso
Silva, P., Robalino, N., & Guerrero, A. V. S. (2023) · Mediciencias UTA (Impresa)/Mediciencias UTA (En línea) · doi:10.31243/mdc.uta.v7i1.1919.2023 · Cited by 1
Salguero, F. J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-16062-2.00007-1 · Cited by 2
Váradi, O. A. (2021) · SZTE Repository of Dissertations (University of Szeged) · doi:10.14232/phd.10740 · Cited by 1
Watch out for Abdominal Pain in HIV-AIDS Patients: Abdominal Tuberculosis
Rodriguez-Santiago, M. A., Alvarez-Pérez, L., Gaudier-Díaz, J., Cruz, P. G. D. R., Hernández-Cuevas, N., & Colón-Márquez, J. (2020) · Case Reports in Clinical Medicine · doi:10.4236/crcm.2020.912054
Mishra, M. N., Philips, S., Odyuo, B. S., & Webster, J. J. (2021) · International Journal of Biomedical and Clinical Analysis · doi:10.61797/ijbca.v1i1.56
Zheng, J., Long, X., Chen, H., Ji, Z., Shu, B., Yue, R., Liao, Y., Qiao, K., Liu, Y., & Liao, Y. (2021) · Research Square · doi:10.21203/rs.3.rs-779101/v1
A case of concurrent gastrointestinal, peritoneal and urinary bladder tuberculosis
Ahmad, M. F., Mohamad, N., Sapiai, N. A., Razali, N. A., & Anuar, A. H. (2021) · Indian Journal of Tuberculosis · doi:10.1016/j.ijtb.2021.09.004
Imaging of Pulmonary Infections
Byrne, S. C., Hammer, M. M., & Thomas, R. (2021) · Springer eBooks · doi:10.1007/978-3-030-44092-3_18-1
Ramos, A. M. M., de Lucena, L. N., Bezerra, A. H., da Silva, F. J., Arenhardt, C. R., Santos, E. C., Barbosa, F. S., Batista, L. L., Leite, L. M. G. D. S., Lins, V. L. V., et al. (2021) · International Journal of Health Science · doi:10.22533/at.ed.1592109128
Ulcerations and Lymphadenopathy in a 42 year old Male
Brownstone, N. D., Dirr, M. A., & Rigel, D. S. (2022) · SKIN The Journal of Cutaneous Medicine · doi:10.25251/skin.6.1.19
“Copyright 2022 The National Society for Cutaneous Medicine 86 and critical care medicine, 167(4), 603–662.”
Background
Metadata
- Authors
- Rodriguez-Takeuchi, S. Y., Renjifo, M. E., & Medina, F. J.
- Affiliations
- Fundación Valle del Lili (CO)
- From the Department of Radiology, Fundación Valle del Lili–Universidad Icesi, Carrera 98 #18-49, Cali, Colombia.
- Venue
- Radiographics
- Published
- 2019-11
- Volume
- 39
- Issue
- 7
- Pages
- 2023-2037
- ISSN
- 0271-5333 (ISSN-L)
- 1527-1323
- OpenAlex
- W2988325760
- Cited by
- 328
- References
- 44
- Citations by year
- 2026: 27 · 2025: 49 · 2024: 63 · 2023: 68 · 2022: 70 · 2021: 36 · 2020: 13
- FWCI
- 6.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Radiographics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Diagnosis and treatment of tuberculosis
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Keywords
- extrapulmonary tuberculosis, tuberculous lymphadenitis, disseminated tuberculosis, central nervous system tuberculosis, renal tuberculosis, urogenital tuberculosis, gastrointestinal tuberculosis, tuberculous peritonitis, spinal tuberculosis, synovitis, immunosuppression, pathophysiology
- MeSH terms
- Abscess, Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Male, Muscular Diseases, Risk, Tuberculoma, Tuberculosis, Tuberculosis, Lymph Node, Tuberculosis, Meningeal, Tuberculosis, Osteoarticular, Tuberculosis, Urogenital, Tuberculosis, Central Nervous System
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