结核性骨髓炎患者出现手指肿胀的播散性结核病：一例报告
Disseminated tuberculosis presenting with finger swelling in a patient with tuberculous osteomyelitis: a case report.
作者信息
Agarwal Shradha, Caplivski Daniel, Bottone Edward J
机构信息
Mount Sinai Medical Center, One Gustave L. Levy Place, New York, New York 10029, USA.
出版信息
Ann Clin Microbiol Antimicrob. 2005 Nov 3;4:18. doi: 10.1186/1476-0711-4-18.
BACKGROUND
Extrapulmonary manifestations of tuberculosis have become increasingly important in the era of HIV/AIDS.
CASE PRESENTATION
We describe a case of tuberculosis (TB) dactylitis in a patient with AIDS who originated from the Ivory Coast. The diagnosis was established by direct visualization of acid-fast bacilli on joint fluid and bone biopsy of the proximal phalanx. Imaging of the chest revealed multiple bilateral nodules. Confirmation of the diagnosis was made by isolation of Mycobacterium tuberculosis from sputum and bone cultures.
CONCLUSION
Tuberculosis should be considered in patients with unusual soft tissue or skeletal lesions, especially when an immunosuppressive condition is present. Ziehl-Neelsen staining and culture of tissue obtained via surgical biopsy offer the most direct approach to diagnosis.
背景
在艾滋病毒/艾滋病时代，肺结核的肺外表现变得越来越重要。
病例介绍
我们描述了一例来自象牙海岸的艾滋病患者患结核性指（趾）炎的病例。通过在关节液中直接观察抗酸杆菌以及近端指骨的骨活检确诊。胸部影像学检查显示双侧多个结节。通过痰液和骨培养分离出结核分枝杆菌确诊。
结论
对于有异常软组织或骨骼病变的患者，尤其是存在免疫抑制情况时，应考虑肺结核。通过手术活检获取组织进行萋-尼染色和培养是最直接的诊断方法。
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