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婴儿期胫骨远端囊性结核性骨髓炎

Cystic tuberculosis osteomyelitis of the distal tibia in infancy.

作者信息

Gümüştaş Seyit Ali, Çağırmaz Talat, Orak Mehmet Müfit, Pehlivanoğlu Gökhan, Öktem Sedat

机构信息

Clinic of Orthopaedics and Traumatology, Kartal Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.

出版信息

Turk Pediatri Ars. 2017 Mar 1;52(1):53-56. doi: 10.5152/TurkPediatriArs.2017.2479. eCollection 2017 Mar.

Abstract

One-third of tuberculosis cases affect the musculoskeletal system. Solitary bone tuberculosis is a rare condition in infancy, has non-specific findings, and can be misdiagnosed easily. Cystic form tuberculosis may mimic many other pathologic conditions. In our case report, we present tuberculosis osteomyelitis of the distal tibia in a baby aged ten months who visited our outpatient department with swelling and pain in their left ankle. Curettage and debridement was performed twice for the lesion. An under-knee splint was applied for 3 months and anti-tuberculosis treatment was given for 12 months. There was no relapse during a five-year follow-up period. There was no epiphysis injury and deformity. In this case report, we discuss that bone tuberculosis, as a rare condition, must be considered in lytic lesions of the distal tibia metaphysis in infancy.

摘要

三分之一的结核病病例会累及肌肉骨骼系统。孤立性骨结核在婴儿期较为罕见,表现不具特异性,容易被误诊。囊性骨结核可能与许多其他病理状况相似。在我们的病例报告中,我们呈现了一名10个月大婴儿的胫骨远端结核性骨髓炎,该婴儿因左踝肿胀和疼痛前来我们门诊就诊。对该病灶进行了两次刮除和清创术。使用了膝下夹板3个月,并进行了12个月的抗结核治疗。在五年的随访期内没有复发。没有骨骺损伤和畸形。在本病例报告中,我们讨论了骨结核作为一种罕见病症,在婴儿期胫骨远端干骺端的溶骨性病变中必须予以考虑。

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