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骨关节结核确诊病例的临床流行病学概况

Clinical-epidemiological profile of confirmed cases of osteoarticular tuberculosis.

作者信息

Panico Caroline Thomaz, de Oliveira Priscila Rosalba Domingos, de Carvalho Vladimir Cordeiro, Dos Anjos Angélica Makio, de Melo Vanessa Ferreira Amorim, Lima Ana Lucia Lei Munhoz

机构信息

Instituto de Ortopedia e Traumatologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.

出版信息

J Bone Jt Infect. 2023 Jan 5;8(1):11-17. doi: 10.5194/jbji-8-11-2023. eCollection 2023.

Abstract

: tuberculosis (TB) remains a major cause of morbidity and mortality worldwide. The incidence of TB has increased since the 1980s. Given the increasing prevalence of TB worldwide, osteoarticular TB (OATB) is a significant health problem. : retrospective study of a case series of hospitalized patients with confirmed OATB by culture or histopathological examination who were seen at a reference orthopedic hospital in São Paulo, Brazil, from 2014 to 2019. : thirty patients with confirmed bone and joint TB were seen from 2014 to 2019. The main sites of OATB were the spine (83.3 %) and the appendicular skeleton (26.7 %). Indication of surgical treatment was significantly related to the need for hospitalization ( ) and the increased length of hospital stay ( ). Presence of sequelae at the end of treatment was correlated with the presence of motor deficit at the time of OATB diagnosis ( ) as well as with initial presence of functional limitation ( ) and with high value of C-reactive protein at the end of treatment ( ). : the delay in the onset of clinical and laboratory signs of cases of osteoarticular infections hinders the early diagnosis and treatment of the disease, resulting in major complications sometimes requiring surgical treatment and consequently leading to a prolonged hospital stay, evidence of high inflammatory activities, and the presence of neurological deficits.

摘要

结核病(TB)仍是全球发病和死亡的主要原因。自20世纪80年代以来,结核病发病率有所上升。鉴于全球结核病患病率不断增加,骨与关节结核(OATB)是一个重大的健康问题。:对2014年至2019年在巴西圣保罗一家参考骨科医院就诊的经培养或组织病理学检查确诊为OATB的住院患者病例系列进行回顾性研究。:2014年至2019年共诊治30例确诊的骨与关节结核患者。OATB的主要发病部位是脊柱(83.3%)和附属骨骼(26.7%)。手术治疗指征与住院需求( )和住院时间延长( )显著相关。治疗结束时后遗症的存在与OATB诊断时运动功能障碍的存在( )以及初始功能受限的存在( )和治疗结束时C反应蛋白的高值( )相关。:骨与关节感染病例临床和实验室体征出现延迟,阻碍了疾病的早期诊断和治疗,导致有时需要手术治疗的重大并发症,进而导致住院时间延长、炎症活动度高以及神经功能缺损的存在。

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