Vijayaraghavan Rajagopalan, Chandrashekar Rangashamaiah, Jyothiprakash A M, Belagavi Charalingappa Shanmukhappa
Department of General and Laparoscopic Surgery, RMV Hospital, AECS Layout, Sanjaynagar, Bangalore, Karnataka, India.
BMJ Case Rep. 2010 Dec 13;2010:bcr0420102889. doi: 10.1136/bcr.04.2010.2889.
Isolated tuberculous osteomyelitis involving flat bones such as the scapula is extremely rare. The diagnosis is generally delayed due to non-specific complaints and radiographs mimicking pyogenic osteomyelitis, especially in those with no lung involvement. The authors report a case of isolated tuberculous osteomyelitis of the scapula in a 44-year-old woman. A review of the English literature revealed only 11 cases of isolated tuberculous osteomyelitis involving the scapula. The management is outlined and the difficulties in diagnosis are highlighted.
孤立性结核性骨髓炎累及肩胛骨等扁骨极为罕见。由于症状不具特异性且X线表现类似化脓性骨髓炎，诊断通常会延迟，尤其是在那些没有肺部受累的患者中。作者报告了一例44岁女性孤立性肩胛骨结核性骨髓炎病例。对英文文献的回顾显示，仅有11例孤立性结核性骨髓炎累及肩胛骨。文中概述了治疗方法，并强调了诊断中的困难。
