相关实验视频
Updated: Jan 14, 2026

04:41
Knee Arthrocentesis in Adults
Published on: February 25, 2022
9.2K
由于结核病引起的急性炎症性脚单关节炎:现实生活中的临床难题
Ozair Ali1, Rahim Abbas1, Shing F Chau2
1Internal Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, GBR.
Cureus
|October 17, 2025
概括
脚结核是一种罕见的疾病,可以模仿败血性关节炎,导致诊断延迟和不良结果. 早期识别和及时治疗对于改善急性单关节炎患者预后至关重要.
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:
- 肌肉骨结核病 (TB) 通常影响脊椎,部或膝盖.
- 脚结核病是罕见的,经常潜伏地呈现,导致诊断延迟和不良结果.
研究的目的:
- 在老年患者中报告急性脚结核病例.
- 突出诊断挑战和考虑结核病在急性单关节炎中的重要性.
主要方法:
- 一个86岁的老妇人患有急性脚疼痛和胀的病例报告.
- 进行了临床检查,实验室检查,脚X射线,关节吸收,MRI和结核PCR.
- 吸入剂的回顾性分析证实了结核病.
主要成果:
- 最初的表现模仿了败血性关节炎,发烧,胀和炎症标志物升高.
- 脚X射线没有什么显著的;联合愿望和文化最初是负面的.
- 核磁共振扫描显示出突炎;结核PCR证实了结核菌结核病,尽管最初的培养基呈阴性.
结论:
- 脚结核病可以呈现为急性,模仿败血性关节炎,构成诊断挑战.
- 延迟诊断导致结果不佳;肺部干扰可能是一个线索.
- 在急性单关节炎中应考虑结核病,特别是在高风险人群中;早期诊断和治疗至关重要.
更多相关视频
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
308
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
308
Pulmonary Tuberculosis I
822
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...
822
Pulmonary Tuberculosis IV
473
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...
473
Pulmonary Tuberculosis II
1.4K
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...
1.4K
Pulmonary Tuberculosis III
924
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:
924
Pulmonary Tuberculosis V
533
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...
533

