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一例被误诊为肌肉萎缩症的儿童脊柱结核病例。

A childhood case of spinal tuberculosis misdiagnosed as muscular dystrophy.

作者信息

Song Doo Il, Sohn Su Ye, Kim Yun Kyung, Eun So Hee, Rhie Young Jun, Jang Gi Young, Woo Chan Wook, Choi Byung Min, Lee Jung Hwa, Je Bo Kyung

机构信息

Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea.

出版信息

Korean J Pediatr. 2010 May;53(5):657-60. doi: 10.3345/kjp.2010.53.5.657. Epub 2010 May 31.

DOI:10.3345/kjp.2010.53.5.657
PMID:21189934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2994122/
Abstract

Tuberculosis is primarily a pulmonary disease, but extra-pulmonary manifestations are not uncommon, especially in children and adolescents. Ten percent of extra pulmonary tuberculosis localizes to the bones and joints, and 56% of such cases affect the spine. We treated a childhood case of spinal tuberculosis misdiagnosed as muscular dystrophy in a patient without specific constitutional symptoms. We report this case because the patient had an unusual presentation of spinal tuberculosis.

摘要

结核病主要是一种肺部疾病,但肺外表现并不罕见,尤其是在儿童和青少年中。10%的肺外结核定位于骨骼和关节,其中56%的病例累及脊柱。我们治疗了一例儿童脊柱结核病例,该病例在一名无特异性全身症状的患者中被误诊为肌肉营养不良。我们报告此病例是因为该患者脊柱结核的表现不寻常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/518dc0c7c3a4/kjped-53-657-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/9134d9173b65/kjped-53-657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/176552638275/kjped-53-657-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/518dc0c7c3a4/kjped-53-657-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/9134d9173b65/kjped-53-657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/176552638275/kjped-53-657-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/2994122/518dc0c7c3a4/kjped-53-657-g003.jpg

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本文引用的文献

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Spinal tuberculosis in a 14-year-old immigrant in the Netherlands.一名14岁荷兰移民的脊柱结核
Eur J Pediatr. 2007 Oct;166(10):1071-3. doi: 10.1007/s00431-006-0347-1. Epub 2006 Nov 11.
2
Risk factors for multidrug resistant tuberculosis in Europe: a systematic review.欧洲耐多药结核病的危险因素:一项系统综述
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