结核病骨髓炎作为一个惰的骨质质量.
Brandon W Knopp1, Payton Yerke Hansen1, Kimberlee Persaud2
1Medical Education, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|September 4, 2023
概括
结核性骨髓炎可以在没有肺部症状的情况下发生. 即使在幼儿中,早期诊断和治疗骨感染至关重要,以防止这种罕见的结核病表现的并发症.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科手术 整形外科手术
- 儿科 儿科 儿科
背景情况:
- 结核病 (TB) 是由Mycobacterium tuberculosis引起的全球重大健康问题.
- 结核病骨髓炎是一种罕见的肺外表现,占病例的3-5%.
- 它可以在没有典型的肺部或全身症状的情况下潜伏地呈现.
研究的目的:
- 在一个小孩子身上呈现一个部结核病骨髓炎病例.
- 为突出诊断和管理见解这个罕见的条件.
- 强调在无法解释的骨质中考虑结核病的重要性.
主要方法:
- 一个22个月大的雌性患有近端手臂肌质的病例报告.
- 诊断工作包括X射线,MRI,聚合酶链反应 (PCR) 在状物质上,QuantiFERON-TB Gold和纯化蛋白衍生物测试.
- 治疗涉及多种药物抗生素治疗方案.
主要成果:
- 图像检测显示近端骨骨质炎与骨内布罗迪.
- 在排水材料中PCR证实了Mycobacterium结核病.
- 诊断得到了结核病阳性血液检测的支持.
- 患者通过12个月的抗生素疗程成功治愈.
结论:
- 在没有肺部症状的儿童中,腹结核病骨髓炎可能发生.
- 检查结核病的骨质质量是必不可少的,无论系统性症状如何.
- 及时诊断和治疗对于结核病骨髓炎的良好结果至关重要.
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