Barfod Kristoffer, Broeng Leif, Meyer Christian Niels
Ortopædkirurgisk Afdeling, Køge Sygehus, Denmark.
Ugeskr Laeger. 2011 Jun 6;173(23):1653-4.
We describe a case concerning tuberculous coxitis 55 years after primary tuberculosis. A 76-year old man developed hip pain, weight loss and a gluteal tumor. After three months he was diagnosed with tuberculous coxitis by ultrasound assisted aspiration from the joint. Anti-tuberculous chemotherapy was commenced. After three months a Girdlestone operation was performed and seven months later a total hip replacement was performed. Anti-tuberculous chemotherapy was continued for a total of 12 months. Early ultrasound assisted aspiration from the joint is recommended to shorten diagnostic delay and optimise treatment of tuberculous coxitis.
我们描述了一例原发性肺结核55年后发生结核性髋关节炎的病例。一名76岁男性出现髋部疼痛、体重减轻和臀部肿物。三个月后，通过关节超声引导下穿刺抽吸确诊为结核性髋关节炎，并开始抗结核化疗。三个月后进行了关节切除成形术，七个月后进行了全髋关节置换术。抗结核化疗共持续12个月。建议早期进行关节超声引导下穿刺抽吸，以缩短诊断延迟并优化结核性髋关节炎的治疗。
