结核性骶髂关节炎。一例病例报告及文献复习。
Tuberculous sacroiliitis. A case report and review of the literature.
作者信息
Papagelopoulos Panayiotis J, Papadopoulos Elias Ch, Mavrogenis Andreas F, Themistocleous George S, Korres Demetrios S, Soucacos Panayotis N
机构信息
First Department of Orthopaedics, Athens University Medical School, 4 Christovassili Street, 15451 Neo Psychikon Athens, Greece.
出版信息
Eur Spine J. 2005 Sep;14(7):683-8. doi: 10.1007/s00586-004-0831-0. Epub 2005 Feb 3.
BACKGROUND
Infections of the musculoskeletal system are tuberculous in nature in 1-5% of cases. The sacroiliac joint is involved in 3-9.7%. We describe the case of a 32-year-old man with tuberculous sacroiliitis presented as a growing mass on the lateral aspect of his right proximal and mid-thigh. Open biopsy, histology, cultures and PCR established the diagnosis of tuberculosis.
RESULTS
After surgical drainage of the abscess, the patient was administrated a triple antibiotic regimen for 12 months. Seven years postoperatively, the patient is disease-free with no functional limitation. This case report highlights the importance of continued awareness for early detection and treatment of a tuberculous sacroiliac joint infection.
背景
在1%至5%的病例中，肌肉骨骼系统感染本质上是结核性的。骶髂关节受累的比例为3%至9.7%。我们描述了一名32岁男性结核性骶髂关节炎的病例，其表现为右大腿近端和中部外侧有一个不断增大的肿块。开放活检、组织学检查、培养及聚合酶链反应确诊为结核病。
结果
脓肿手术引流后，患者接受了为期12个月的三联抗生素治疗。术后七年，患者无疾病且无功能受限。本病例报告强调了持续提高对结核性骶髂关节感染早期检测和治疗认识的重要性。
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