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Enfermedad pediátrica del sacro: Un informe de caso
Abdul Mannan1,2, Zainab Jahangir1, Muhammad Owais3
1Pakistan Institute of Medical Sciences Islamabad Pakistan.
Clinical case reports
|August 27, 2025
Resumen
La tuberculosis sacra aislada en niños es una afección rara que puede carecer de los signos inflamatorios típicos. El diagnóstico y el tratamiento rápidos son vitales para prevenir complicaciones graves como la destrucción ósea y la parálisis.
Área de la Ciencia:
- Enfermedades infecciosas pediátricas
- Cirugía ortopédica
- Radiología
Sus antecedentes:
- La tuberculosis sacra aislada es una presentación poco común de la tuberculosis extrapulmonar en niños.
- A menudo carece de los signos inflamatorios característicos que se observan en otras formas de tuberculosis, lo que lleva a problemas de diagnóstico.
Objetivo del estudio:
- Destacar la rareza y las dificultades de diagnóstico de la tuberculosis sacra aislada en pacientes pediátricos.
- Hacer hincapié en la importancia del reconocimiento temprano y el tratamiento para prevenir secuelas graves.
Principales métodos:
- Este estudio revisa la presentación clínica, las modalidades de diagnóstico y los resultados del tratamiento en pacientes pediátricos con tuberculosis sacra aislada.
- Las imágenes de diagnóstico, incluidas las resonancias magnéticas y las tomografías computarizadas, juegan un papel crucial.
Principales resultados:
- La condición puede presentarse insidiosamente sin fiebre o elevados marcadores inflamatorios.
- El retraso en el diagnóstico es común, lo que aumenta el riesgo de morbilidad significativa.
Conclusiones:
- El inicio temprano de la terapia antituberculosa es crítico para prevenir la destrucción irreversible de los huesos, la deformidad y los déficits neurológicos como la paraplejía.
- Un alto índice de sospecha es necesario para el diagnóstico y tratamiento oportunos en niños que presentan dolor sacro o síntomas neurológicos.
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