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一名糖尿病女性患者通过基于微芯片的聚合酶链反应诊断出罕见的胸锁关节结核病例。

A Rare Case of Sternoclavicular Tuberculosis Diagnosed Using Microchip-Based Polymerase Chain Reaction in a Diabetic Female.

作者信息

Kumar Subodh, Mohanty Aroop, Hada Vivek, Singh Devesh P, Kushwaha Garima

机构信息

Pulmonary Medicine, All India Institute of Medical Science Gorakhpur, Gorakhpur, IND.

Clinical Microbiology, All India Institute of Medical Science Gorakhpur, Gorakhpur, IND.

出版信息

Cureus. 2021 Oct 17;13(10):e18845. doi: 10.7759/cureus.18845. eCollection 2021 Oct.

Abstract

Osteoarticular tuberculosis (TB) accounts for almost 10% of all extrapulmonary TB cases. In the majority of cases, the spine, knee, hip, and large bones are involved; other sites like the sternoclavicular joint, elbow, wrist, and smaller joints are infrequently involved. Uncommon locations of extrapulmonary TB pose a challenge in diagnosis due to lack of clinical suspicion, non-availability of samples, and unavailability of suitable diagnostic modalities. Here we report a case of uncommon location of osteoarticular TB diagnosed through microchip-based real-time polymerase chain reaction (PCR).

摘要

骨关节结核占所有肺外结核病例的近10%。在大多数病例中,脊柱、膝关节、髋关节和大骨骼受累;其他部位如胸锁关节、肘关节、腕关节和较小关节很少受累。由于缺乏临床怀疑、样本获取困难以及缺乏合适的诊断方法,肺外结核的罕见部位在诊断上构成挑战。在此,我们报告一例通过基于微芯片的实时聚合酶链反应(PCR)诊断的骨关节结核罕见部位病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f35/8597680/d12e8886fed8/cureus-0013-00000018845-i01.jpg

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