[拇指结核性关节炎：一例报告]

[Tuberculous arthritis of the thumb: a case report].

作者信息

Rabesalama S S E N, Rakoto-Ratsimba H N, Rakotovao M, Razafimahandry H J C

机构信息

Service de chirurgie viscérale, CHU-JRA Ampefiloha, BP 4150, 101 Antananarivo, Madagascar.

出版信息

Arch Pediatr. 2010 Jan;17(1):45-8. doi: 10.1016/j.arcped.2009.10.015. Epub 2009 Nov 20.

DOI:10.1016/j.arcped.2009.10.015

PMID:19932011

Abstract

Fingers are an uncommon location of osteoarticular tuberculosis. We report herein a case affecting the thumb in an 8-year-old boy. He presented painful swelling of the right thumb, which had a tumoral aspect and had been evolving for 3 months with general signs of tuberculosis impregnation. Bacteriology and biopsy findings confirmed the diagnosis. Medical treatment yielded satisfactory results. The particular features of care are discussed in the context of a developing country and in relation to the data in the literature.

摘要

手指是骨关节结核的罕见发病部位。我们在此报告一例8岁男孩拇指受累的病例。他出现了右手拇指疼痛性肿胀，呈肿瘤样外观，已持续3个月，并伴有结核病浸润的全身症状。细菌学和活检结果确诊了该病。药物治疗取得了满意的效果。结合发展中国家的情况以及文献数据对该病例的特殊护理特点进行了讨论。