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在手腕的结核性肌炎:一个病例报告
R Penagos1, R De Los Reyes1, M Cortés-Molano2
1Portoazul Auna Clinic-Barranquilla. Colombia.
Acta ortopedica mexicana
|September 9, 2025
概括
肺外结核很少见,但这种病例突出显示了年轻男性的手腕关节感染,没有典型的危险因素. 及时诊断和手术干预,随后是药物治疗,导致症状消失.
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:
- 关节结核病是一种罕见的肺外结核病,通常会影响大关节,如部或膝盖.
- 风险因素通常包括免疫抑制或肺结核病史.
- 诊断依赖于成像和病理学,治疗涉及手术和药物.
研究的目的:
- 呈现一个关节结核病病例,影响年轻男性的手腕.
- 突出诊断挑战和成功管理罕见的肺外结核病呈现.
主要方法:
- 一名25岁的男性在骨折手术后出现了持续的手腕疼痛和胀.
- 诊断工作包括手腕的X射线和MRI.
- 为了进行组织学确认,进行了突的手术瘤切除.
主要成果:
- 图像检测结果与结核病相容.
- 组织学检查证实了肺外结核病.
- 患者在手术,物理治疗和结核病药物治疗后显著改善症状.
结论:
- 关节结核病可以发生在手腕关节,即使在没有经典风险因素的患者中.
- 通过先进的成像和组织学确认进行早期诊断至关重要.
- 结合手术,药物和物理治疗的多模式治疗方法是有效的.
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...
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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...
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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:
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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...
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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...
