相关实验视频
Updated: Jun 26, 2025

06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
4.8K
脊椎炎:一个诊断和管理困境
Akhshay J George1, Srinivasalu Santhanagopal1, Madan M Mohan1
1Orthopaedics, St. Johns Medical College Hospital, Bangalore, IND.
Cureus
|May 16, 2024
概括
精确诊断脊髓瘤炎 (SpD) 需要将临床和MRI发现与组织病理学和微生物学相关联. 虽然HPE更敏感,但GeneXpert提高了微生物检测,尽管有些病例仍然是非特异性的.
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
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 脊髓炎 (SpD) 是一种严重的脊髓感染,需要及时诊断和治疗.
- 准确的病因诊断对于SPD有效的抗菌疗法至关重要.
研究的目的:
- 评估临床和MRI发现与脊髓瘤学 (HPE) 和微生物学 (MB) 之间的相关性.
- 评估HPE和MB的诊断产量,以确定SPD的原因.
主要方法:
- 对34名临床诊断为SPD的患者进行前性研究.
- 图像引导或手术活检用于HPE和MB分析.
- 包括GeneXpert技术用于改进微生物检测.
主要成果:
- 71%的患者在HPE和MB上显示了与传染性SPD一致的发现.
- 结合HPE和MB证实病因在82.4%的病例中.
- HPE表现出比传统的MB更高的灵敏度;GeneXpert改善了检测,特别是在结核性SPD.
结论:
- 确定SPD的病因仍然是针对性抗微生物治疗的挑战.
- 建议采用包括临床怀疑,成像和组织活检在内的系统方法来检测HPE和MB.
- 一个"非特异性"SPD病例的子集将需要基于临床放射学资料的经验性治疗.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
76
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
76
Pleural Effusion II: Symptoms and Management
165
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
165
Pulmonary Tuberculosis IV
139
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...
139
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Pulmonary Tuberculosis V
177
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...
177
Pneumonia III: Complications and Assessment
203
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
203

