孤立性肋横关节结核——结核性关节炎的罕见发病部位。
Isolated costotransverse joint tuberculosis - A rare location for tubercular arthritis.
作者信息
Ghodke Aashish, Singh Sumedha, Gadkari Alok, Batheja Dheeraj, Chaddha Ram
机构信息
Department of Spinal Disorders, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom.
Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Bhubaneshwar, Odisha.
出版信息
Surg Neurol Int. 2022 Jun 23;13:266. doi: 10.25259/SNI_398_2022. eCollection 2022.
BACKGROUND
Posterior element involvement of the spine with tuberculosis (TB) is very uncommon.
CASE DESCRIPTION
A 25-year-old immunocompetent female presented with dull mid-back ache and tenderness over the inferior angle of the left scapula and left 7 costovertebral junction. The MRI showed erosion and enhancing soft tissue in the periarticular region of the left 7 costotransverse joint. After the CT-guided biopsy confirmed the diagnosis of TB, she was successfully managed with antitubercular chemotherapy.
CONCLUSION
In a 25-year-old female, the early diagnosis of atypical TB involving the left T7 costotransverse joint allowed for allowed for its successful treatment/resolution with antitubercular chemotherapy.
背景
脊柱结核累及后部结构非常罕见。
病例描述
一名25岁免疫功能正常的女性，出现背部中部隐痛，左肩胛下角和左第7肋椎关节处有压痛。磁共振成像（MRI）显示左第7肋横突关节关节周围区域有骨质侵蚀和强化的软组织。经CT引导下活检确诊为结核病后，她通过抗结核化疗成功治愈。
结论
对于一名25岁女性，早期诊断出累及左第7肋横突关节的非典型结核病，通过抗结核化疗使其得到成功治疗/治愈。
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