Auregan G, Ali B M, Chakib S O
Centre Pneumophtisiologique Paul-Faure, Djibouti.
Rev Mal Respir. 1990;7(6):589-91.
The authors report a case of pulmonary tuberculosis appearing after an endobronchial fistula from a Pott's abscess. Such a clinical presentation is rare even in a developing country (PVD), where there is experience of more than 200 cases of tuberculous spondylodiscitis seen over a period of six years. The frequency of paravertebral abscess during the course of Pott's disease is around 52%, in the thoracic lesion their exteriorization by endobronchial fistula is around 4% (5 out of 114). The outcome is generally more simple and here a cure was achieved after six months of chemotherapy.
作者报告了一例因波特氏脓肿导致支气管内瘘后出现的肺结核病例。即使在一个发展中国家(PVD),这种临床表现也很罕见,在该国六年期间有超过200例结核性脊椎间盘炎病例的诊治经验。波特氏病病程中椎旁脓肿的发生率约为52%,在胸部病变中,其通过支气管内瘘向外破溃的发生率约为4%(114例中有5例)。通常预后较为简单,在此例中,经过六个月的化疗后治愈。