在一个幼儿的结核性牙周炎
Sruthi Balan1, Rajesh Balan1, Immanni Ganga Pujitha1
1Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
BMJ case reports
|March 14, 2025
概括
结核牙炎是一种罕见的结核病表现,在幼儿中呈现为无痛的手部胀. 早期诊断和抗结核疗法治疗导致了完全康复.
科学领域:
- 儿童传染病 儿童传染病
- 骨结核病 骨结核病 是一种
- 菌根菌感染 菌根菌感染
背景情况:
- 结核性牙炎是一种罕见的肺外结核病,通常会影响手和脚的小骨头.
- 它通常呈现为无痛的胀,可以模仿其他骨损伤,延迟诊断.
研究的目的:
- 为了突出一个儿童病人的结核牙炎病例.
- 强调在儿童骨损伤的差异诊断中考虑结核病的重要性.
- 强调组织病理学检查和分子测试在确认诊断中的有用性.
主要方法:
- 一个男婴的病例报告,手部无痛胀.
- 诊断工作包括X射线,组织病理学检查 (HPE) 和基于盒子的核酸放大测试 (CBNAAT).
- 治疗包括除菌和开始抗结核疗法.
主要成果:
- 放射检查显示,第五个甲手腕骨中的扩张性性病变.
- HPE显示有多核巨细胞的颗粒状炎症.
- 据CBNAAT证实了对利芬素敏感的Mycobacterium tuberculosis的存在.
结论:
- 结核牙炎可以在没有全身症状的儿童中潜伏地出现.
- 通过成像,HPE和分子测试的结合即时诊断至关重要.
- 抗结核疗法有效地实现了完全的解决和预防并发症.
相关概念视频
Pulmonary Tuberculosis IV
127
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...
127
Pulmonary Tuberculosis II
202
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...
202
Pulmonary Tuberculosis V
159
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...
159
Pulmonary Tuberculosis I
214
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...
214
Pulmonary Tuberculosis III
290
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:
290
Pulmonary Cycle: Exhalation
1.3K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.3K


