Darraj Majid
Department of Internal Medicine, Jazan University, Jazan, Saudi Arabia.
Case Rep Infect Dis. 2018 Sep 24;2018:8591075. doi: 10.1155/2018/8591075. eCollection 2018.
Infections caused by (MTb) have a global distribution, with infections occurring most frequently in persons residing in or who have resided in developing nations. Pulmonary tuberculosis (Tb) is the most common form of infection caused by MTb. Osteoarticular Tb is a far less common condition than pulmonary Tb and is frequently overlooked in the differential diagnosis of persons with joint pathology. Osteoarticular Tb infections are far less common than pulmonary Tb and are usually not considered in the differential diagnosis. We describe a case of a 57-year-old immigrant African male who presented with 5 years of right shoulder pain and a restricted range of movement. Magnetic resonance imaging (MRI) concluded right shoulder septic arthritis, for which he underwent operative drainage and debridement was undertaken. The thick purulent joint fluid subsequently yielded MTb, establishing the diagnosis of osteoarticular Tb. We conclude that Tb should be suspected in cases of long-standing joint pain and stiffness, particularly in persons from endemic areas with Tb as well as patients with a previous history of Tb exposure.
结核分枝杆菌（MTb）引起的感染在全球范围内均有分布，感染最常发生在居住于或曾居住于发展中国家的人群中。肺结核（Tb）是MTb引起的最常见感染形式。骨关节结核远比肺结核少见，在关节病变患者的鉴别诊断中常被忽视。骨关节结核感染远比肺结核少见，通常在鉴别诊断中不被考虑。我们描述了一例57岁的非洲移民男性病例，该患者有5年的右肩疼痛及活动范围受限症状。磁共振成像（MRI）诊断为右肩化脓性关节炎，为此他接受了手术引流及清创。随后，浓稠的脓性关节液培养出MTb，确诊为骨关节结核。我们得出结论，对于长期存在关节疼痛和僵硬的病例，尤其是来自结核病流行地区的人群以及有结核接触史的患者，应怀疑患有结核病。
