Tsai Ching-Wei, Wang Jann-Tay, Tsai Chien-Chen, Yeh Kun-Huei
Department of Internal Medicine, Far Eastern Memorial Hospital, Ban-Ciao, Taipei 220, Taiwan.
Diagn Microbiol Infect Dis. 2006 Mar;54(3):211-6. doi: 10.1016/j.diagmicrobio.2005.09.010. Epub 2006 Jan 19.
We report a patient with disseminated Mycobacterium kansasii infection, but with no underlying disease, presenting with mimicking multiple bone metastases with cancer of unknown primary site. Disseminated M. kansasii infection is rare in HIV-negative patients without underlying diseases. This patient had disseminated M. kansasii infection manifested with vertebral osteomyelitis, sacroiliitis, psoas abscess, bone marrow granuloma, liver granuloma, and possible spleen abscesses. The clinical manifestations are described and discussed in details.
我们报告一例播散性堪萨斯分枝杆菌感染患者，该患者无基础疾病，表现为酷似不明原发部位癌症的多发骨转移。在无基础疾病的HIV阴性患者中，播散性堪萨斯分枝杆菌感染较为罕见。该患者的播散性堪萨斯分枝杆菌感染表现为椎体骨髓炎、骶髂关节炎、腰大肌脓肿、骨髓肉芽肿、肝肉芽肿以及可能的脾脓肿。本文详细描述并讨论了其临床表现。
