Ekingen G, Guvenc B H, Kahraman H
Kocaeli University Medical Faculty, Department of Pediatric Surgery, Kocaeli, Turkey.
Acta Chir Belg. 2006 Jan-Feb;106(1):124-6. doi: 10.1080/00015458.2006.11679854.
Skeletal tuberculosis (TB) is usually seen in association with a primary pulmonary focus. However, it is being increasingly recognized that the former may be encountered without the latter, particularly in children. Sternal lesions have been frequently reported in infants, presumably secondary to Bacillus Calmette-Guerin (BCG) vaccination. Herein we report a case of rib TB and a cold abscess in a child who had previously had sternal TB ; that diagnosis had been missed at the time. Timely treatment of apparently solitary skeletal lesions may reduce the number of multifocal cases of skeletal TB in children.
骨结核通常与原发性肺部病灶相关。然而，人们越来越认识到，前者可能在没有后者的情况下出现，尤其是在儿童中。婴儿期经常报告有胸骨病变，推测是卡介苗（BCG）接种的继发反应。在此，我们报告一例曾患胸骨结核但当时漏诊的儿童肋骨结核和寒性脓肿病例。及时治疗明显孤立的骨骼病变可能会减少儿童多发性骨结核病例的数量。
