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多灶性结核性骨髓炎合并结核性乳腺脓肿：一种非典型的结核病表现。

Multifocal Tubercular Osteomyelitis with Tubercular Breast Abscess: An Atypical Presentation of Tuberculosis.

作者信息

Bar Mita, Santra Tuhin, Guha Pradipta, Agrawal Neha, Adhikary Apu, Das Anirban, Mahapatra Chanchal

机构信息

Department of Medicine, Calcutta National Medical College & Hospital, Kolkata, India.

Department of Medicine, North Bengal Medical College & Hospital, Sushrutanagar, India.

出版信息

Case Rep Infect Dis. 2015;2015:629141. doi: 10.1155/2015/629141. Epub 2015 May 4.

DOI:10.1155/2015/629141
PMID:26064720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4434215/
Abstract

Tuberculosis of spine is common in a developing country like India. However, involvement of spine at multiple levels along with involvement of rib and tubercular breast abscess in an immunocompetent patient without any pulmonary involvement is extremely rare. Here we report a case of 53-year-old immunocompetent lady who presented with quadriparesis and MRI (magnetic resonance imaging) of spine revealed multiple lesions involving cervical, thoracic, lumbar, and sacral region without any involvement of intervertebral disc. On detailed examination she was found to have a lump in right breast. Fine needle aspiration cytology of both paravertebral collection and breast lump revealed presence of acid fast bacilli. She was put on antitubercular drug for one year and she responded well to therapy.

摘要

在印度这样的发展中国家，脊柱结核很常见。然而，在免疫功能正常且无肺部受累的患者中，多个节段的脊柱受累同时合并肋骨受累及结核性乳腺脓肿极为罕见。在此，我们报告一例53岁免疫功能正常的女性，她因四肢瘫就诊，脊柱磁共振成像（MRI）显示颈椎、胸椎、腰椎和骶椎区域有多个病变，椎间盘未受累。详细检查发现她右侧乳房有一个肿块。椎旁积液和乳房肿块的细针穿刺细胞学检查均发现抗酸杆菌。她接受了一年的抗结核药物治疗，对治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/d103f6af7461/CRIID2015-629141.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/59b669f88ac7/CRIID2015-629141.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/551253829933/CRIID2015-629141.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/bd43fac321c1/CRIID2015-629141.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/392c1a80110e/CRIID2015-629141.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/4f77703b9954/CRIID2015-629141.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/dc69c8f47f0d/CRIID2015-629141.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/d103f6af7461/CRIID2015-629141.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/59b669f88ac7/CRIID2015-629141.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/551253829933/CRIID2015-629141.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/bd43fac321c1/CRIID2015-629141.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/392c1a80110e/CRIID2015-629141.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/4f77703b9954/CRIID2015-629141.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/dc69c8f47f0d/CRIID2015-629141.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a7b/4434215/d103f6af7461/CRIID2015-629141.007.jpg

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