Agnello Francesco, Galia Massimo, Guadagnino Giuliana, Ricceri Viola, Midiri Federico, Colomba Claudia
Section of Radiological Sciences, DIBIMED, University of Palermo, Palermo, Italy.
Section of Infectious Diseases, University of Palermo, Palermo, Italy.
BJR Case Rep. 2016 Feb 28;2(2):20150258. doi: 10.1259/bjrcr.20150258. eCollection 2016.
A 32-year-old Bangladeshi male was admitted at our emergency department for trauma of the left knee. The radiographs showed absence of fracture, and presence of an indeterminate oval lucency in the proximal tibia. Further examinations were suggested, but the patient refused. 6 months later, the patient re-presented at our emergency department. A CT scan showed progression of musculoskeletal involvement and spread to the liver. This case underlines the importance of considering tuberculosis in the differential diagnosis of indeterminate bone lesions in immigrant patients.
一名32岁的孟加拉男性因左膝创伤入住我院急诊科。X线片显示无骨折，胫骨近端有一个不确定的椭圆形透亮区。建议进一步检查，但患者拒绝。6个月后，该患者再次来到我院急诊科。CT扫描显示肌肉骨骼受累进展并扩散至肝脏。该病例强调了在移民患者不确定骨病变的鉴别诊断中考虑结核病的重要性。
