Horntrich J, Gubatz W, Mydlak G
Chirurgischen Klinik, Zentrallabor für klinische Mikrobiologie, Bezirks-krankenhauses, Cottbus.
Zentralbl Chir. 1987;112(24):1566-71.
Reported in this paper are 20 cases of extrapulmonary tuberculosis, following septic surgery, between 1983 and 1987. It seems to be as important as ever before to consider tuberculosis for differential diagnosis of abscesses and fistulae. Treatment was rendered to patients with osteoarticular, renal, and lymph node tuberculosis forms. Tuberculosis should be considered as a possibility particularly in the context of periarticular accumulation of pus and therapy-resistant fistulae. The use of pus cultures from tuberculotic abscesses is considered to be a promising approach to bacteriological verification. However, in cases of poly-infected fistulae, bacteriological verification was obtainable solely from animal experiments.
本文报告了1983年至1987年间20例继发于脓毒症手术后的肺外结核病例。在脓肿和瘘管的鉴别诊断中考虑结核病似乎一如既往地重要。对骨关节炎、肾脏和淋巴结结核形式的患者进行了治疗。特别是在关节周围有脓液积聚和治疗抵抗性瘘管的情况下,应考虑结核病的可能性。使用结核性脓肿的脓液培养被认为是一种有前景的细菌学验证方法。然而,在多重感染的瘘管病例中,只能通过动物实验获得细菌学验证。