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表现为严重胸痛的结核性脊柱炎。

Tuberculous spondylitis presenting as severe chest pain.

作者信息

Kaeser Martha A, Kettner Norman W, Albastaki Usama, Kotb Hossam Ahmed, Eldesouky Ibrahim M A, Pierre-Jerome Claude

机构信息

Department of Radiology, Logan College of Chiropractic, Chesterfield, MO, USA;

Department of Diagnostic Radiology, Rashid Hospital Trauma Centre, Dubai Health Authority, Dubai, United Arab Emirates;

出版信息

Clin Pract. 2012 Apr 3;2(2):e42. doi: 10.4081/cp.2012.e42. eCollection 2012 Mar 30.

DOI:10.4081/cp.2012.e42
PMID:24765441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3981296/
Abstract

This case report describes a 32-year-old male who presented to an emergency department with severe chest pain and a history of cough, fever, night sweats, loss of appetite and weight. Chest radiography revealed a left upper lobe consolidation and multiple compression deformities in the thoracic spine. Magnetic resonance imaging demonstrated significant kyphosis and vertebral plana at two thoracic levels. Anterior compression of the spinal cord and adjacent soft tissue masses were also noted.

摘要

本病例报告描述了一名32岁男性，他因严重胸痛就诊于急诊科，有咳嗽、发热、盗汗、食欲不振和体重减轻的病史。胸部X线检查显示左上叶实变以及胸椎多处压缩畸形。磁共振成像显示两个胸椎节段有明显的脊柱后凸和椎体扁平。还注意到脊髓前方受压及相邻软组织肿块。

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本文引用的文献

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Orthop Surg. 2011 Feb;3(1):64-71. doi: 10.1111/j.1757-7861.2010.00115.x.
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PCR could be a method of choice for identification of both pulmonary and extra-pulmonary tuberculosis.聚合酶链反应（PCR）可能是鉴定肺结核和肺外结核的一种首选方法。
BMC Res Notes. 2011 Sep 8;4:332. doi: 10.1186/1756-0500-4-332.
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Tuberculosis.结核病。
Lancet. 2011 Jul 2;378(9785):57-72. doi: 10.1016/S0140-6736(10)62173-3. Epub 2011 Mar 21.
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Recent advances in testing for latent TB.最近在潜伏性结核病检测方面的进展。
Chest. 2010 Dec;138(6):1456-63. doi: 10.1378/chest.10-0366.
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Tuberculous brain abscesses in immunocompetent patients: management and outcome.结核性脑脓肿在免疫健全患者中的：治疗与结局。
Neurosurgery. 2010 Oct;67(4):1081-7; discussion 1087. doi: 10.1227/NEU.0b013e3181eda396.
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A comparative study of pyogenic and tuberculous spondylodiscitis.化脓性与结核性脊椎炎的比较研究。
Spine (Phila Pa 1976). 2010 Oct 1;35(21):E1096-100. doi: 10.1097/BRS.0b013e3181e04dd3.
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Low yield of chest radiography in a large tuberculosis screening program.大型结核病筛查项目中胸部 X 光摄影的低产量。
Radiology. 2010 Sep;256(3):998-1004. doi: 10.1148/radiol.10100485.
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