揭露在发展中国家伪装成脊髓结核的大模仿者 - - 非传染性疾病:单中心病例系列分析
Bhavuk Garg1, Nishank Mehta1, Rudra Narayan Mukherjee1
1Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
North American Spine Society journal
|September 4, 2023
概括
许多非结核性脊髓疾病模仿脊髓结核,特别是在发展中国家. 在开始结核病治疗之前,确切的组织诊断至关重要,以避免误诊.
科学领域:
- 脊柱成像和诊断工作
- 传染病 传染病 传染病
- 差异诊断是一种差异诊断.
背景情况:
- 脊柱结核的诊断依赖于临床,放射学和实验室发现,特别是在资源有限的环境中.
- 非传染性疾病可以模仿脊髓结核病,导致错误诊断,没有微生物学证据.
- 这项研究强调了发展中国家脊髓结核病的非传染性模仿.
研究的目的:
- 介绍一系列模仿脊柱结核的非传染性脊柱疾病的病例.
- 强调在资源有限的环境中准确诊断的重要性.
主要方法:
- 对医院记录和成像的回顾性分析.
- 包括被诊断患有脊髓结核病但缺乏明确证据并对治疗无反应的患者.
- 对患有非传染性模仿体的患者的临床和放射性发现进行分析.
主要成果:
- 在6年的时间里,发现了23名患有脊髓结核的非传染性模仿患者.
- 确定的模仿者包括脊椎血管瘤,结性脊柱炎,多发性骨髓瘤,脊椎转移等.
- 各种罕见的疾病,如胰腺伪囊和食道复制囊也模仿脊柱结核病.
结论:
- 非传染性脊柱状况经常模仿脊柱结核病.
- 在开始抗结核治疗之前,获得明确的组织诊断至关重要.
- 诸如中心病变和软组织缺陷等特征需要仔细考虑诊断.
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