Mohammadi Ali, Howell John M
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC, USA.
J Emerg Med. 2009 May;36(4):342-4. doi: 10.1016/j.jemermed.2007.06.017. Epub 2007 Nov 5.
Tuberculosis is a public health problem worldwide. Between 19% and 43% of the world's population is infected with Mycobacterium tuberculosis. Tubercular sternal osteomyelitis is a rare manifestation of tuberculosis. Tuberculous sternal osteomyelitis manifests with fever, weight loss, and chest wall lesions. Computed tomography (CT) scan defines the extent of the thoracic extension, and standard microbiologic methods diagnose this entity. Four-drug anti-tuberculous therapy is effective. The authors report a case of tuberculous osteomyelitis of the sternum not associated with pulmonary tuberculosis.
结核病是一个全球性的公共卫生问题。全球19%至43%的人口感染了结核分枝杆菌。结核性胸骨骨髓炎是结核病的一种罕见表现形式。结核性胸骨骨髓炎表现为发热、体重减轻和胸壁病变。计算机断层扫描(CT)可确定胸腔扩展的范围,标准微生物学方法可诊断该病。四联抗结核治疗有效。作者报告了一例与肺结核无关的胸骨结核性骨髓炎病例。