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锁骨骨髓炎:肺外结核的一种罕见表现。

Clavicular osteomyelitis: a rare presentation of extra pulmonary tuberculosis.

作者信息

Dugg Pankaj, Shivhare Pankaj, Mittal Sushil, Singh Harnam, Tiwari Punit, Sharma Ankur

机构信息

Department of General Surgery, Government Medical College, Patiala, India

Department of General Surgery, Government Medical College, Patiala, India.

出版信息

J Surg Case Rep. 2013 May 13;2013(5):rjt030. doi: 10.1093/jscr/rjt030.

Abstract

Clavicular tuberculosis is a rare entity, an unusual case of skeletal tuberculosis. We report a case of rare presentation of clavicular tuberculosis as a non-healing ulcer in the medial two-third and lateral one-third of the clavicle. The clinical picture was confusing because of the development of foul-smelling discharge due to secondary infection. The diagnosis is rarely suspected before biopsies because tumours are much more frequent than infections in this bone. With worldwide resurgence of tuberculosis, clinicians should maintain a high index of suspicion as more infection at unusual sites is being reported.

摘要

锁骨结核是一种罕见的疾病,是骨骼结核的一种不常见病例。我们报告一例罕见的锁骨结核表现为锁骨中内三分之二和外三分之一处的不愈合溃疡。由于继发感染导致有恶臭的分泌物,临床表现令人困惑。在活检之前很少怀疑有该诊断,因为在这块骨头上肿瘤比感染更常见。随着全球结核病的再次流行,由于报告了更多不寻常部位的感染,临床医生应保持高度的怀疑指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbca/3813558/d6c6701d448a/rjt03001.jpg

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