Shantanu Kumar, Sharma Vineet, Kumar Santosh, Jain Sonal
Department of Orthopaedics, CSMMU (erstwhile KGMC), Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2012 Jan 10;2012:bcr0820114698. doi: 10.1136/bcr.08.2011.4698.
Tuberculosis is a major health issue in developing countries. The authors present a case of a 28-year-old male doctor, working as resident in the department of radiodiagnosis who attended orthopaedics outdoor with complaint of wrist pain over ulnar aspect. Radiograph of left wrist showed an oval shaped osteolytic lesion. Fine needle aspiration cytology was performed which produced only haemorrhage. Therefore, open biopsy was planned; yellowish coloured material was obtained which was sent for histopathological examination. Finally, Mycobacterium tuberculosis was isolated and thus the patient was immediately started with antitubercular therapy. This brief report emphasises upon the rare sites of skeletal tuberculosis which should always be kept in mind while diagnosing such lesions.
结核病是发展中国家的一个主要健康问题。作者介绍了一例28岁男性医生的病例，该医生是放射诊断科的住院医师，因尺侧腕部疼痛前往骨科门诊就诊。左手腕X线片显示一个椭圆形溶骨性病变。进行了细针穿刺细胞学检查，结果仅见出血。因此，计划进行开放性活检；获取了淡黄色物质并送去做组织病理学检查。最终，分离出结核分枝杆菌，患者随即开始接受抗结核治疗。这份简短报告强调了骨结核的罕见部位，在诊断此类病变时应始终牢记。
