Gu Peng-Cheng, Wu Rong-Huan, Lin Xiang-Jin
Department of Orthopedics, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Hepatobiliary Pancreat Dis Int. 2009 Apr;8(2):218-21.
Spinal tuberculosis is a common disease in orthopedic clinical practice; however, it is seldom reported after organ transplantation. The aim of this study was to investigate the diagnosis and treatment of spinal tuberculosis after organ transplantation.
Two cases were diagnosed as spinal tuberculosis after liver transplantation and were treated with socarboxazide, rifampicin, streptomycin and ethambutol for more than one year.
After treatment with anti-tuberculosis drugs for several months, the symptoms of both patients clearly improved. Back pain disappeared, and erythrocyte sedimentation and body temperature returned to normal.
We should highly suspect spinal tuberculosis if notalgia and night sweats are present after organ transplantation. Anti-tuberculosis therapy is an effective treatment for spinal tuberculosis after organ transplantation.
脊柱结核是骨科临床实践中的常见疾病；然而，器官移植后鲜有报道。本研究旨在探讨器官移植后脊柱结核的诊断与治疗。
两例肝移植后被诊断为脊柱结核的患者接受了羧甲司坦、利福平、链霉素和乙胺丁醇治疗一年以上。
经抗结核药物治疗数月后，两名患者的症状均明显改善。背痛消失，血沉和体温恢复正常。
器官移植后若出现背痛和盗汗，应高度怀疑脊柱结核。抗结核治疗是器官移植后脊柱结核的有效治疗方法。
