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以臀部脓肿为表现的脊柱结核：一项诊断挑战。

Spinal tuberculosis presenting with hip abscesses: a diagnostic challenge.

作者信息

de Araújo Gabriel Costa Serrão, Ferreira Junior Diógenes de Souza, Escarso Junior Lessandro da Rocha, Gameiro Vinícius Schott

机构信息

Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.

出版信息

BMJ Case Rep. 2014 Sep 24;2014:bcr2014205569. doi: 10.1136/bcr-2014-205569.

DOI:10.1136/bcr-2014-205569
PMID:25253485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4173196/
Abstract

Spinal tuberculosis is the most common manifestation of extra-pulmonary tuberculosis. It is difficult to diagnose the disease due to its insidious onset and non-specific clinical presentation. A high degree of suspicion and appropriate imaging studies are necessary for its early diagnosis and treatment. The authors report a case of lumbosacral tuberculosis in an adult patient presenting with hip pain and abscesses.

摘要

脊柱结核是肺外结核最常见的表现形式。由于其起病隐匿且临床表现不具特异性，该病难以诊断。高度的怀疑及恰当的影像学检查对其早期诊断和治疗很有必要。作者报告了一例成年患者腰骶部结核，该患者表现为髋部疼痛及脓肿。

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Spinal tuberculosis presenting with hip abscesses: a diagnostic challenge.以臀部脓肿为表现的脊柱结核：一项诊断挑战。
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[Spinal tuberculosis (Pott's disease) associated to psoas abscess: report of two cases and a literature review].[脊柱结核（波特氏病）合并腰大肌脓肿：两例报告及文献综述]
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引用本文的文献

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Submuscular gluteal abcess: An unusual presentation of rare sacral tuberculosis.臀肌下脓肿：罕见骶骨结核的一种不寻常表现。
Int J Surg Case Rep. 2019;54:55-59. doi: 10.1016/j.ijscr.2018.11.046. Epub 2018 Nov 24.

本文引用的文献

1
Update on the surgical management of Pott's disease.波状热外科治疗的最新进展
Orthop Traumatol Surg Res. 2014 Apr;100(2):229-35. doi: 10.1016/j.otsr.2013.09.013. Epub 2014 Mar 5.
2
Imaging findings of Pott's disease.波特病的影像学表现。
Eur Spine J. 2013 Jun;22 Suppl 4(Suppl 4):567-78. doi: 10.1007/s00586-012-2333-9. Epub 2012 Jun 9.
3
Tuberculosis of the spine. A systematic review of case series.脊柱结核。病例系列的系统评价。
Int Orthop. 2012 Feb;36(2):221-31. doi: 10.1007/s00264-011-1414-4. Epub 2011 Nov 25.
4
Vertebral osteomyelitis: eight years' experience of 100 cases.脊椎骨髓炎：100 例 8 年经验。
Rheumatol Int. 2012 Nov;32(11):3591-7. doi: 10.1007/s00296-011-2233-z. Epub 2011 Nov 18.
5
Commentary: Instrumentation in the treatment of spinal tuberculosis, anterior or posterior?评论：脊柱结核治疗中的器械植入，前路还是后路？
Spine J. 2011 Aug;11(8):734-6. doi: 10.1016/j.spinee.2011.07.024.
6
One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation.一期前路清创、减压、自体肋骨植骨和内固定治疗胸壁结核。
Spine J. 2011 Aug;11(8):726-33. doi: 10.1016/j.spinee.2011.06.009. Epub 2011 Jul 27.
7
Spinal infections.脊柱感染
Eur J Radiol. 2004 May;50(2):120-33. doi: 10.1016/j.ejrad.2003.10.022.
8
Spinal tuberculosis (Pott's disease): its clinical presentation, surgical management, and outcome. A survey study on 694 patients.脊柱结核（波特氏病）：其临床表现、外科治疗及结果。一项对694例患者的调查研究。
Neurosurg Rev. 2001 Mar;24(1):8-13. doi: 10.1007/pl00011973.
9
Imaging of tuberculosis. IV. Spinal manifestations in 63 patients.结核病的影像学。IV. 63例患者的脊柱表现
Acta Radiol. 1996 Jul;37(4):506-11. doi: 10.1177/02841851960373P215.