乳幼児の橈骨遠位端結核性骨髄炎

Vibhansu Yadav¹, Madhu Babu Killi Killi^1,2, Raghavendra Kaganur³

¹Orthopaedic Surgery, JIPMER, Puducherry, India.

BMJ case reports

|January 19, 2026

まとめ

乳幼児の関節骨結核はまれで診断が困難です。この乳幼児の橈骨遠位端骨髄炎の早期診断と複合治療により、優れた結果が得られました。

科学分野:

小児整形外科学
感染症
骨結核

背景:

長骨の関節骨結核（TB）はまれで診断が困難です。
乳幼児の長骨骨髄炎には、幅広い鑑別診断が必要です。
乳幼児の骨病変は、典型的な結核症状なしに現れることがあります。

研究の目的:

乳幼児における結核菌による橈骨遠位端骨髄炎の症例を報告すること。
小児における骨格性結核の診断上の課題と成功した管理を強調すること。
乳幼児の骨病変の鑑別診断において結核を考慮することの重要性を強調すること。

主な方法:

橈骨遠位端病変の外科的減圧、デブリドマン、生検。
結核菌のカートリッジベース核酸増幅検査（CBNAAT）および組織病理学による診断確定。
抗結核薬の開始。

主要な成果:

橈骨遠位端骨端症における結核の診断に成功しました。
抗結核療法後の放射線学的および臨床的転帰の有意な改善。
治療後の成長障害または変形の不在。

結論:

乳幼児の骨病変、特に流行地域では、鑑別診断として結核を考慮する必要があります。
分子検査および組織病理学を用いた早期診断が重要です。
医学的および外科的治療の組み合わせは、小児の関節骨結核において良好な転帰につながります。

キーワード:

乳幼児の健康整形外科学結核

さらに関連する動画

03:55

Laparoscopic Posterior Radical Antegrade Modular Pancreatosplenectomy for Distal Pancreatic Carcinoma

Published on: December 29, 2023

1.1K

10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

776

関連する概念動画

01:12

Radius of Gyration of an Area

2.7K

The second moment of area, also known as the moment of inertia of area, is a crucial factor in understanding an object's resistance against bending deformation, or stiffness. To accurately estimate the second moment of area along any axis, one needs to concentrate all areas associated with that object into a thin strip, which should be placed parallel to that particular axis.

2.7K

01:30

Socioemotional Development during Infancy

435

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types

435

01:09

Bones of the Upper Limb: Radius

4.5K

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...

4.5K

01:21

Schwarzschild Radius and Event Horizon

2.6K

No object with a finite mass can travel faster than the speed of light in a vacuum. This fact has an interesting consequence in the domain of extremely high gravitational fields.
The minimum speed required to launch a projectile from the surface of an object to which it is gravitationally bound so that it eventually escapes the object’s gravitational field is called the escape velocity. The escape velocity is independent of the mass of the object. Merging the idea of escape...

2.6K

01:19

Degree of Curvature and Radius of Curvature

474

The degree of curvature and the radius of curvature are fundamental concepts in determining the sharpness or smoothness of a curve. The degree of curvature is a measure of how steeply a curve bends and can be determined using the chord basis or the arc basis. In the chord basis method, the degree of curvature is defined as the central angle subtended by a chord of 30.48 meters, helping in the calculation of the radius of the curve. The arc basis method defines the degree of...

474

03:08

Atomic Radii and Effective Nuclear Charge

61.7K

The elements in groups of the periodic table exhibit similar chemical behavior. This similarity occurs because the members of a group have the same number and distribution of electrons in their valence shells.