肩锁关节结核：一例报告。
Tuberculosis of acromioclavicular joint: a case report.
机构信息
Department of Orthopedics, The Affiliated Xuzhou Hospital of Medical College of Southeast University (Xuzhou Central Hospital), No.199, Jiefang South road, Quanshan District, Xuzhou, 221009, Jiangsu Province, China.
The First Clinical Medical College, Nanjing University of Chinese Medicine, No.138, Xianlin road, Qixia District, Nanjing, 210046, Jiangsu Province, China.
出版信息
BMC Infect Dis. 2019 Feb 4;19(1):111. doi: 10.1186/s12879-019-3760-6.
BACKGROUND
Osteoarticular tuberculosis is a great masquerader presenting in varied forms and in atypical locations, and it is prone to misdiagnosis and missed diagnosis. Isolated acromioclavicular joint tuberculosis has been reported rarely.
CASE PRESENTATION
A 19-year-old man presented with a chronic, mild pain, non-healing ulcer in right shoulder. Imaging of the shoulder revealed destruction of the acromioclavicular joint and histopathology confirmed the diagnosis of acromioclavicular tuberculosis. The patient underwent debridement, synovectomy and drainage of the abscess and recovered well with antitubercular therapy postoperatively.
CONCLUSIONS
Awareness of this uncommon presentation of osteoarticular tuberculosis may assist in earlier diagnosis. Especially, in endemic countries, osteoarticular tuberculosis should be considered as a differential diagnosis in all atypical presentations to avoid residual problems.
背景
骨关节结核表现多样，好发于不典型部位，容易误诊和漏诊，单纯性肩锁关节结核更为罕见。
病例介绍
一名 19 岁男性，以右肩部慢性、轻度疼痛、经久不愈的溃疡起病。肩部影像学检查显示肩锁关节破坏，组织病理学检查证实为肩锁关节结核。患者接受了清创、滑膜切除术和脓肿引流，术后抗结核治疗后恢复良好。
结论
对这种不常见的骨关节结核表现的认识有助于早期诊断。特别是在结核病流行的国家，对于所有不典型表现，都应考虑骨关节结核作为鉴别诊断，以避免遗留问题。
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