Abdelwahab Ibrahim Fikry, Bianchi Stefano, Martinoli Carlo, Klein Michael, Hermann George
Coney Island Hospital, Downstate School of Medicine, Brooklyn, NY, USA.
Can Assoc Radiol J. 2006 Apr;57(2):86-94.
With the resurgence of pulmonary tuberculosis and musculoskeletal tuberculosis in North America and Europe over the last 20 years, the typical pattern of extraspinal musculoskeletal tuberculosis has been changing; presentation of the disease often mimics that of neoplasia. However, certain radiographic features may offer some clues to the more benign nature of the process and its inflammatory and infectious nature. Although the diagnosis of extraspinal musculoskeletal tuberculosis depends largely on clinical context, it is the radiologist's role to guide the imaging workup to initiate the specific treatment as early as possible. As in classic extraspinal tuberculosis, delayed diagnosis may lead to deformity of the involved joint and permanent disability. This review considers atypical osteoarticular tuberculosis and tuberculous osteomyelitis. We discuss examples of these atypical presentations. All patients were permanent residents in Europe and North America, and all were immunocompetent.
在过去20年里，随着北美和欧洲肺结核及肌肉骨骼结核的再度流行，脊柱外肌肉骨骼结核的典型模式一直在发生变化；该疾病的表现常常类似肿瘤。然而，某些影像学特征可能为该病程更良性的性质及其炎症和感染性质提供一些线索。虽然脊柱外肌肉骨骼结核的诊断很大程度上取决于临床背景，但放射科医生的职责是指导影像检查，以便尽早开始特定治疗。与典型的脊柱外结核一样，诊断延迟可能导致受累关节畸形和永久性残疾。本综述探讨非典型骨关节结核和结核性骨髓炎。我们讨论这些非典型表现的实例。所有患者均为欧美常住居民，且均具有免疫活性。
