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颅骨结核:播散性结核的一种不寻常表现。

Calvarial tuberculosis: an unusual presentation of disseminated tuberculosis.

作者信息

Santos Pinheiro da Silva Martins Alfredo Manuel, Fanjul Francisco, Campins Rosselló Antoni Abdon, Riera Jaume Melchor

机构信息

Infectious Diseases Unit, Hospital Universitari Son Espases, Palma de Mallorca, Spain.

出版信息

BMJ Case Rep. 2019 Apr 25;12(4):e226967. doi: 10.1136/bcr-2018-226967.

DOI:10.1136/bcr-2018-226967
PMID:31028047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506111/
Abstract

A 30-year-old man, without previous medical record, was admitted to our centre due to persistent hacking cough for the previous 2 months, accompanied by nocturnal sweating, unquantified weight loss and low-grade fever. The patient was finally diagnosed of pulmonary tuberculosis (TB). During admission, a right forehead swelling was detected, painful to palpation, fluctuating and not attached to the skin, without cutaneous alterations or neurological impairment. Surgical debridement was performed and intraoperative cultures were positive for mycobacteria TB. The patient completed 9 months of antituberculous therapy and fully recovered.

摘要

一名30岁男性,既往无病史,因持续干咳2个月入院,伴有夜间盗汗、体重减轻(未量化)和低热。该患者最终被诊断为肺结核。入院期间,发现右侧前额肿胀,触诊疼痛,有波动感,与皮肤不粘连,无皮肤改变或神经功能障碍。进行了手术清创,术中培养结核分枝杆菌呈阳性。患者完成了9个月的抗结核治疗并完全康复。

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Calvarial tuberculosis: an unusual presentation of disseminated tuberculosis.颅骨结核:播散性结核的一种不寻常表现。
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引用本文的文献

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Calvarial tuberculosis in a paediatric patient: a diagnosis not to forget.小儿颅骨结核:一个不容忽视的诊断。
BMJ Case Rep. 2021 Nov 9;14(11):e244494. doi: 10.1136/bcr-2021-244494.

本文引用的文献

1
Tuberculosis of the skull mimicking a bony tumor.酷似骨肿瘤的颅骨结核
Asian J Neurosurg. 2016 Jan-Mar;11(1):68. doi: 10.4103/1793-5482.172594.
2
Calvarial tuberculosis: Uncommon manifestation of common disease--a series of 21 cases.颅骨结核:常见疾病的罕见表现——21例病例系列
Br J Neurosurg. 2010 Oct;24(5):572-7. doi: 10.3109/02688697.2010.495166.
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Calvarial tuberculosis: A report of eleven patients.颅骨结核:十一例患者报告。
Neurol India. 2009 Sep-Oct;57(5):607-12. doi: 10.4103/0028-3886.57814.
4
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Calvarial tuberculosis.颅骨结核
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Tubercular osteomyelitis of skull.
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