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伴有多发寒性脓肿的肱骨头关节结核:肩部疼痛的罕见病因

Glenohumeral joint tuberculosis with multiple cold abscesses: an uncommon cause of shoulder pain.

作者信息

Kizildag Betul, Sener Alper, Komurcu Erkam, Karatag Ozan, Kosar Sule

机构信息

Department of Radiology, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey.

出版信息

BMJ Case Rep. 2013 Aug 23;2013:bcr2013200592. doi: 10.1136/bcr-2013-200592.

Abstract

The musculoskeletal system involvement of tuberculosis (TB) other than spinal TB is a rare and less-known entity. Furthermore symptoms of musculoskeletal involvement of TB infection are non-specific, relatively slow and indolent. The diagnosis of TB is less considered by clinicians among other common causes of shoulder pain including traumatic and degenerative conditions. We reported a 72-year-old patient suffering shoulder pain for the last 2 years who was diagnosed with glenohumeral joint TB arthritis associated with multiple cold abscesses in adjacent soft tissues; emphasising significant clinical and imaging findings.

摘要

除脊柱结核外,结核病累及肌肉骨骼系统是一种罕见且鲜为人知的情况。此外,结核感染累及肌肉骨骼系统的症状不具有特异性,相对缓慢且隐匿。在包括创伤性和退行性疾病在内的其他常见肩部疼痛原因中,临床医生较少考虑结核病的诊断。我们报告了一名72岁的患者,在过去两年中一直遭受肩部疼痛,被诊断为肱盂关节结核性关节炎,并伴有相邻软组织的多个寒性脓肿;强调了显著的临床和影像学表现。

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