揭露足结核病是足痛的未被认可的来源
Jatin Prakash1, Jyoti Garg2, Vikas3
1Central Institute Of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, 110029, India. jatin_mamc@yahoo.co.in.
International orthopaedics
|September 5, 2023
概括
脚结核病是一种罕见的疾病,通常表现为模糊的症状,延迟诊断. 通过临床评估,成像和活检进行早期识别,随后进行及时的抗结核疗法 (ATT),对于骨关节结核病的良好结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 脚结核病是骨关节结核病的罕见表现,占所有病例的不到1%.
- 由于非特异性临床症状和与其他疾病重叠的症状,它带来了诊断挑战.
- 这项研究的重点是改善足结核病的早期识别和管理.
研究的目的:
- 为了研究足结核病的临床表现.
- 分析足结核病中的X光和MRI发现.
- 确定足结核病患者的预后和影响结果的因素.
主要方法:
- 这是一项从2016年11月到2021年7月,对39名被诊断患有足结核的患者进行的前性研究.
- 诊断包括临床评估,实验室测试,X射线,MRI和检查可疑病变的活检.
- 治疗包括18个月的抗结核疗法 (ATT),使用脚功能指数 (FFI) 评估结果.
主要成果:
- 单边参与是普遍的,男性占主导地位 (61.5%),平均年龄为31.3岁.
- 疼痛和是最常见的症状;在X射线上注意到"脊柱风口"的出现,特别是在四足骨中.
- 磁力共振扫描有助于早期检测; 79.4%的患者在没有手术的情况下对ATT反应良好,尽管高ESR,延迟ATT和状干涉与预后不良相关.
结论:
- 足结核病的非特异性症状往往导致诊断和治疗延迟.
- 准确的诊断依赖于临床评估,成像 (X射线,MRI) 和活检.
- 早期启动抗结核疗法对于有利的结果至关重要,而高ESR和状干涉等因素表明预后更差.
相关概念视频
01:26Pulmonary Tuberculosis IV
162
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
162
01:31Pulmonary Tuberculosis III
363
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
363
01:29Pulmonary Tuberculosis I
265
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
265
01:28Pulmonary Tuberculosis II
262
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
262
01:28Pulmonary Tuberculosis V
200
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
200
01:11Pulse Assessment Sites
1.1K
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
1.1K