膝关节骨关节结核病的潜在重新激活
Siddharth Kotikalapudi1, Preetam Upadhyaya2, Krishna Vemulapalli2
1ENT, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, GBR.
Cureus
|December 15, 2025
概括
骨关节结核病 (TB) 很少见,特别是在膝盖. 这一案例突显了潜在结核病感染的创伤诱导的活性化,强调了高怀疑和快速诊断的必要性,以获得有效的治疗和关节保护.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
- 微生物学 微生物学
背景情况:
- 骨关节结核病 (TB) 是一种罕见的肺外结核病 (EPTB).
- 膝关节结核性关节炎特别罕见,由于表现惰,经常被误诊.
- 创伤可能会触发关节中潜伏的结核病感染的重新激活.
研究的目的:
- 报告一个罕见的膝关节结核性关节炎病例.
- 为了说明创伤在激活潜伏结核病感染中的潜在作用.
- 强调诊断挑战和膝关节结核病的管理策略.
主要方法:
- 一个43岁的妇女的病例报告,膝盖胀和排泄.
- 诊断方法包括成像,酸快细菌 (AFB) 涂抹和手术样本中的聚合酶链反应 (PCR).
- 治疗包括标准的抗结核疗法和手术干预.
主要成果:
- 在手术期间的样本证实了 * Mycobacterium 结核病 * 感染.
- 没有发现肺结核或扩散结核病的证据.
- 患者通过抗结核疗法进行了良好的术后康复.
结论:
- 膝关节结核性关节炎需要高度的怀疑指数,特别是在来自流行地区的患者身上.
- 通过微生物学测试进行早期诊断和及时治疗对于关节功能至关重要.
- 结合手术和医疗管理是治疗膝关节结核病的基石.
相关概念视频
Pulmonary Tuberculosis II
1.3K
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...
1.3K
Pulmonary Tuberculosis III
890
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:
890
Pulmonary Tuberculosis IV
468
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...
468
Pulmonary Tuberculosis I
802
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...
802
Pulmonary Tuberculosis V
523
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...
523
Knee Joint
3.0K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
3.0K


