肩锁关节结核
Tuberculosis of Acromioclavicular Joint.
作者信息
Agarwal Archit, Bhandari Amish, Maheshwari Rajesh
机构信息
Senior Resident, Department of Orthopaedics, Himalayan Institute of Medical Sciences, Dehradun, Uttrakhand, India.
Junior Resident, Department of Orthopaedics, Himalayan Institute of Medical Sciences, Dehradun, Uttrakhand, India.
出版信息
J Clin Diagn Res. 2017 Mar;11(3):RD03-RD04. doi: 10.7860/JCDR/2017/23186.9588. Epub 2017 Mar 1.
Tuberculosis (TB) arthritis accounts for approximately 1%-3% of all cases of TB and for approximately 10%-11% of extra pulmonary cases. Isolated acromioclavicular joint TB has been reported rarely with varied presentations as case series of one to three cases none of them being large studies. In our case, patient presented with pain in left shoulder since one month. Patient was investigated and was diagnosed to have acromioclavicular joint TB on basis of positive Acid Fast Bacilli (AFB) stain and cytology. Patient recovered well with antitubercular therapy. Thus, it is important to send Ziehl-Neelsen (ZN) stain in all cases in an endemic country like India.
结核性关节炎约占所有结核病病例的1%-3%，约占肺外结核病病例的10%-11%。孤立性肩锁关节结核的报道很少，表现各异，多为1至3例的病例系列，均非大型研究。在我们的病例中，患者自1个月前开始出现左肩疼痛。对患者进行检查后，根据抗酸杆菌（AFB）染色和细胞学检查结果诊断为肩锁关节结核。患者接受抗结核治疗后恢复良好。因此，在像印度这样的结核病流行国家，对所有病例进行萋-尼（ZN）染色很重要。
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