Potential value of vitamin D as adjunctive therapy in osteoarticular tuberculosis: a comprehensive review - Report - MDSpire

Potential value of vitamin D as adjunctive therapy in osteoarticular tuberculosis: a comprehensive review

  • By

  • Chenglong Zhang

  • Kai Xu

  • Yang Chen

  • Zhe Dong

  • Xiao Wu

  • June 12, 2026

  • 0 min

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Clinical Report: Exploring the Role of Vitamin D in Osteoarticular Tuberculosis

Overview

This review examines the role of vitamin D in osteoarticular tuberculosis (OATB).

Background

Osteoarticular tuberculosis (OATB) is a significant form of extrapulmonary tuberculosis, comprising 10% to 15% of EPTB cases. Standard chemotherapy effectively controls Mycobacterium tuberculosis proliferation, but challenges remain in reversing bone destruction and achieving functional recovery.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

['OATB accounts for approximately 10% to 15% of extrapulmonary tuberculosis cases.', 'Spinal tuberculosis represents about 50% of OATB cases and can lead to severe complications.', 'Vitamin D deficiency is associated with an increased risk of developing active tuberculosis, with a reported odds ratio of 2.57.', 'The relationship between vitamin D deficiency and tuberculosis is bidirectional.', 'Current evidence does not establish a definitive causal relationship between vitamin D levels and tuberculosis onset.', 'Rigorous clinical trial designs are essential to bridge the gap between observational associations and causal inferences.']

Clinical Implications

Clinicians should be aware of the relationship between vitamin D deficiency and tuberculosis.

Conclusion

The role of vitamin D in osteoarticular tuberculosis remains an area of active investigation, necessitating further studies to clarify its therapeutic potential.

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  6. WHO operational handbook on tuberculosis. Module 4: treatment and care
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  8. Host- and pathogen-related determinants of pulmonary versus extrapulmonary tuberculosis | European Respiratory Society
  9. Efficacy and safety of vitamin D supplementation in treating pulmonary tuberculosis: a systematic review and meta-analysis | BMC Infectious Diseases | Springer Nature Link
  10. Prevalence of vitamin D deficiency and the effect of vitamin D3 supplementation on response to anti-tuberculosis therapy in patients with extrapulmonary tuberculosis | BMC Infectious Diseases | Springer Nature Link
  11. Randomized controlled trial of vitamin d supplementation on toll-like receptor-2 (tlr-2) and toll-like receptor-4 (tlr-4) in tuberculosis spondylitis patients | Journal of Orthopaedic Surgery and Research | Springer Nature Link
  12. Potential value of vitamin D as adjunctive therapy in osteoarticular tuberculosis: a comprehensive review | Infection | Springer Nature Link

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