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多灶性结核性指炎:成人骨骼结核的一种罕见表现

Multifocal Tubercular Dactylitis: A Rare Presentation of Skeletal Tuberculosis in an Adult.

作者信息

Thatoi Pravat, Parida Manoj, Barik Rakesh, Das Bidyut

机构信息

Assistant Professor, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.

Senior Resident, Department of Medicine, SCB Medical College, Cuttack, Odisha, India.

出版信息

J Clin Diagn Res. 2017 Jun;11(6):OD23-OD24. doi: 10.7860/JCDR/2017/27879.10115. Epub 2017 Jun 1.

DOI:10.7860/JCDR/2017/27879.10115
PMID:28764233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5535425/
Abstract

Tubercular dactylitis is an uncommon form of osteo-articular tuberculosis seen in children. Multifocal involvement, simultaneously involving hands and feet is extremely uncommon. Here we report an adult patient with tubercular dactylitis involving multiple digits of both hands and second digit of right foot in absence of any risk factors like immunodeficiency or any debilitating condition. The patient was successfully treated with anti-tubercular drugs for six months. infection of bones and joints can present in an unusual way but early diagnosis and treatment caries a good prognosis.

摘要

结核性指(趾)炎是一种在儿童中少见的骨-关节结核形式。多部位受累,同时累及手和足极为罕见。在此,我们报告一名成年患者,患结核性指(趾)炎,累及双手多个手指及右足第二趾,且不存在免疫缺陷或任何衰弱性疾病等危险因素。该患者接受抗结核药物治疗6个月后成功治愈。骨与关节感染可能以不寻常的方式呈现,但早期诊断和治疗预后良好。

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