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酷似骨转移瘤的不寻常部位结核:一例报告

Unusual sites of tuberculosis mimicking skeletal metastases: A case report.

作者信息

Jauhary Thanthawy, Hayati Fierly

机构信息

Department of Radiology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

出版信息

Radiol Case Rep. 2022 Apr 5;17(6):2898. doi: 10.1016/j.radcr.2022.03.035. eCollection 2022 Jun.

Abstract

The incidence of skeletal tuberculosis is about 1%-5% of all tuberculous infections. The most common sites are the spine, hip, knee, foot, elbow, hand, and shoulder, whereas the sternum, ribs, sternoclavicular joint, and calvaria are rarely affected. Because of the emergence of skeletal tuberculosis in therapeutic management, radiologists need to be aware of the imaging findings in pulmonary and extrapulmonary tuberculosis. Conventional X-ray plays an important role in diagnosing pulmonary and skeletal tuberculosis. Tuberculosis is known as the 'great mimicker', however, thus computed tomography and magnetic resonance imaging may provide additional details that assist the radiologist in distinguishing this tubercular infection from others. We report the case of a young male patient with skeletal tuberculosis who presented with general weakness, paraplegia, and a calvarial mass.

摘要

骨结核的发病率约占所有结核感染的1%-5%。最常见的部位是脊柱、髋部、膝部、足部、肘部、手部和肩部,而胸骨、肋骨、胸锁关节和颅骨很少受累。由于骨结核在治疗管理中出现,放射科医生需要了解肺结核和肺外结核的影像学表现。传统X线在诊断肺结核和骨结核中起着重要作用。然而,结核病被称为“伟大的模仿者”,因此计算机断层扫描和磁共振成像可能会提供更多细节,帮助放射科医生将这种结核感染与其他感染区分开来。我们报告了一例患有骨结核的年轻男性患者,该患者表现为全身无力、截瘫和颅骨肿块。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c98e/8987893/82096f48f993/gr1.jpg

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