Brief Review of Clinical Morphological and Therapeutic Profiles of the Hand and Wrist Osteoarticular Tuberculosis

Tuberculosis (TB) is an endemic disease known since the Paleolithic in animal species, even before it affected humans. Today it presents serious concerns for global health, being the second most infectious disease after malaria, causing the most deaths worldwide despite the remarkable progress made in recent decades in terms of screening, monitoring and therapeutic strategy. In 2017 there were 1.8 million deaths worldwide from tuberculosis, but we are witnessing a very topical reappearance There are several factors that contribute today to maintaining this status of global tuberculosis health problem with its recurrence in developed countries. These are: immigration from regions where the disease is endemic; increasing number of elderly people with debilitating diseases; increasing the number of immuno-compromised patients; the appearance of mycobacterium-multidrug-resistant strains; increasing drug, alcohol, unemployment, poverty and malnutrition abuse; the HIV epidemic, tuberculosis being often the first manifestation of HIV infection; Extrapulmonary tuberculosis (TBEP) is more common in Asian and African countries, having today a fantastic increase from 7.6% in 1970 to 35 -40% [3-5].