肩胛间区肿块的难民患者：一例骨骼肌肉外肺外结核。
Periscapular mass in a refugee patient: a case of musculoskeletal extrapulmonary tuberculosis.
机构信息
Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Family Medicine, Cambridge Health Alliance, Malden, Massachusetts, USA.
出版信息
BMJ Case Rep. 2022 Mar 3;15(3):e245324. doi: 10.1136/bcr-2021-245324.
Abstract
This report discusses the case of a male refugee from East Africa who presented with persistent right shoulder pain and was found to have a periscapular mass, whose diagnostic and therapeutic delay was due not only to fragmentation of care, but also a lack of awareness of musculoskeletal manifestations of extrapulmonary tuberculosis. This case underscores the importance of including tuberculosis in the differential diagnosis for a variety of symptoms in patients with risk factors, even if they report previous negative screening.
摘要
本报告讨论了一位来自东非的男性难民病例，他表现出持续的右肩部疼痛，并被发现存在肩胛间肿块，其诊断和治疗的延误不仅是由于医疗服务的碎片化，还由于对肺外结核的肌肉骨骼表现缺乏认识。这个病例强调了在具有风险因素的患者出现各种症状时，即使他们报告之前的筛查结果为阴性，也应将结核病纳入鉴别诊断的重要性。
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