Garg Bhavuk, Pannu Chaitanya Dev, Poudel Rishi Ram, Morey Vivek
Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Asian Spine J. 2015 Apr;9(2):276-80. doi: 10.4184/asj.2015.9.2.276. Epub 2015 Apr 15.
Isolated spontaneous primary tubercular erector spinae abscess in an immunocompetent patient is very rare. Here, we report such a case of 21-year-old female, which was successfully managed with timely diagnosis and intervention. Isolated primary tubercular abscess of erector spinae is a rare differential diagnosis of low back pain; however, it must be suspected in an endemic region for tuberculosis, especially when raised erythrocytic sedimentation rate and C-reactive protein are present. Excision along with anti tubercular therapy proved to be a successful strategy in our patient.
在免疫功能正常的患者中,孤立性自发性原发性结核性竖脊肌脓肿非常罕见。在此,我们报告一例21岁女性患者,通过及时诊断和干预成功治愈。孤立性原发性竖脊肌结核性脓肿是腰痛的一种罕见鉴别诊断;然而,在结核病流行地区必须怀疑此病,尤其是当红细胞沉降率和C反应蛋白升高时。对我们的患者而言,手术切除联合抗结核治疗被证明是一种成功的治疗策略。