"结核病肘部的非典型呈现" - 一个案例报告
Aizel Sherief Palasseril1, Madhukar Chegu1, Mymoonah Risha Shahul2
1Department of Orthopaedics, Sree Balaji Medical College Hospital, Chennai, Tamil Nadu, India.
Journal of orthopaedic case reports
|December 13, 2024
概括
结核病 (TB) 在肘部关节的重新激活,经常被误认为是败血性关节炎,可能发生在创伤后. 早期诊断和治疗对于预防关节破坏和恢复功能至关重要.
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:
- 肘关节结核病 (TB) 是一种常见的上肢疾病.
- 肘部结核病的临床表现各不相同,有时没有可检测的主要焦点.
研究的目的:
- 报告一个罕见的创伤后肘部结核病再激活病例.
- 要突出诊断挑战和管理这种情况.
主要方法:
- 一个健康的成年人在道路交通事故后患有肘部伤的案例报告.
- 最初的错误诊断是败血性关节炎,对抗生素没有反应.
- 通过MRI,突活检和结核病的PCR证实了诊断.
- 手术干预:关节脱bridement,纤维组织的去除,和突切除.
主要成果:
- 磁共振成像显示了关节的破坏和纤维性.
- 综膜活检和PCR证实了结核病.
- 一年后的随访显示,在抗结核治疗后,疼痛减轻,恢复功能性运动范围.
结论:
- 关节中创伤后结核病的重新激活是罕见的,但应考虑在不响应的情况下,特别是在流行地区.
- 及时诊断和治疗对于预防严重关节损伤和功能丧失至关重要.
相关概念视频
Pulmonary Tuberculosis I
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...
Pulmonary Tuberculosis II
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...
Pulmonary Tuberculosis III
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:
Pulmonary Tuberculosis IV
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...
Pulmonary Tuberculosis V
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 progression...
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 progression...
Tuberculosis
Tuberculosis (TB) remains a significant global health concern, primarily targeting the lungs and spreading through airborne transmission. Infection begins when aerosolized droplet nuclei, expelled by an individual with active TB, are inhaled by another person. These microscopic particles carry Mycobacterium tuberculosis, the causative agent of TB. Upon reaching the alveoli, the bacilli are engulfed by alveolar macrophages. However, due to their specialized lipid-rich cell wall, these pathogens...


