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[腰背部寒性脓肿提示脊柱结核]

[Dorsolumbar cold abscess revealing Pott's disease].

作者信息

Kouassi Kouame Jean-Eric, Yao Loukou Blaise, Sery Bada Justin Léopold Niaore, M'bra Kouamé Innocent, Krah Koffi Léopold, Lohourou Grah Franck, Kodo Michel

机构信息

Service d'Orthopédie, Traumatologie, CHU de Bouake, Côte d'Ivoire.

出版信息

Pan Afr Med J. 2017 May 2;27:2. doi: 10.11604/pamj.2017.27.2.11174. eCollection 2017.

Abstract

Tuberculous cold abscesses are a rare and unusual form of extrapulmonary tuberculosis. We here report the case of a 27-year old patient with a 5-month history of left dorsolumbar swelling presenting with dorsolumbar cold abscess revealing Pott's disease without neurological complications. Examination of pus sample collected at the time the abscess was incised and drained helped to confirm the diagnosis of cold abscesses of TB origin. The patient underwent 12 months of anti-tuberculosis treatment which lead to a faster recovery; the sequelae was slight gibbosity.

摘要

结核性寒性脓肿是一种罕见的肺外结核形式。我们在此报告一例27岁患者,有5个月的左腰背部肿胀病史,表现为腰背部寒性脓肿,诊断为脊柱结核,无神经并发症。对脓肿切开引流时采集的脓液样本进行检查,有助于确诊结核源性寒性脓肿。该患者接受了12个月的抗结核治疗,恢复较快;后遗症为轻度脊柱后凸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/5511723/ab470c22febb/PAMJ-27-2-g001.jpg

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