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双侧肩峰结核性骨髓炎：一例报告

Tubercular Osteomyelitis of Bilateral Acromion Process: A Case Report.

作者信息

Khera Ruchit, Agrawal Atul, Chauhan Vijendra Devisingh, Siddiqui Faiz Akbar

机构信息

Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Swami Ram Nagar, Dehradun, Uttarakhand, India.

出版信息

J Orthop Case Rep. 2022 Sep;12(9):69-72. doi: 10.13107/jocr.2022.v12.i09.3322.

DOI:10.13107/jocr.2022.v12.i09.3322
PMID:36873323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9983417/
Abstract

INTRODUCTION

Tuberculosis is one of the well-known diseases with significant morbidity and financial burden on the society and health care. Tubercular osteomyelitis constitutes about 10-11% of all extra-pulmonary tuberculosis cases. Disease is believed to be a great imposter, as disease may present in varied forms and/or in atypical sites, making it prone to be missed or misdiagnosed.

CASE REPORT

We report a case of tuberculosis of bilateral acromion process in a 53-year-old female who was managed elsewhere for 18 months with physiotherapy. The patient presentation, diagnostic approach, and management along with follow have been discussed in details.

CONCLUSION

We conclude that tuberculosis could affect any bone of the body and may have unusual presentation. Deferential diagnosis of tubercular osteomyelitis/arthritis should always be kept as a differential and ruled out. Histopathological diagnosis is still a gold standard for confirmation of the same.

摘要

引言

结核病是一种广为人知的疾病，对社会和医疗保健造成了重大的发病率和经济负担。结核性骨髓炎约占所有肺外结核病例的10-11%。这种疾病被认为是一个“伪装高手”，因为它可能以多种形式和/或在非典型部位出现，容易被漏诊或误诊。

病例报告

我们报告一例53岁女性双侧肩峰结核病例，该患者在其他地方接受了18个月的物理治疗。详细讨论了患者的表现、诊断方法、治疗及随访情况。

结论

我们得出结论，结核病可累及身体的任何骨骼，且可能有不寻常的表现。结核性骨髓炎/关节炎的鉴别诊断应始终作为一种鉴别诊断并排除。组织病理学诊断仍然是确诊该病的金标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/34d4297e33fc/JOCR-12-69-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/72819b0306d7/JOCR-12-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/947b518e99e6/JOCR-12-69-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/47fcf17eff7f/JOCR-12-69-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/647992a8d7a1/JOCR-12-69-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/20f562238edc/JOCR-12-69-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/34d4297e33fc/JOCR-12-69-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/72819b0306d7/JOCR-12-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/947b518e99e6/JOCR-12-69-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/47fcf17eff7f/JOCR-12-69-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/647992a8d7a1/JOCR-12-69-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/20f562238edc/JOCR-12-69-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1948/9983417/34d4297e33fc/JOCR-12-69-g007.jpg

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本文引用的文献

1
Tuberculosis of acromioclavicular joint: a case report.肩锁关节结核：一例报告。
BMC Infect Dis. 2019 Feb 4;19(1):111. doi: 10.1186/s12879-019-3760-6.
2
Tuberculosis of Acromioclavicular Joint.肩锁关节结核
J Clin Diagn Res. 2017 Mar;11(3):RD03-RD04. doi: 10.7860/JCDR/2017/23186.9588. Epub 2017 Mar 1.
3
Glenohumeral joint tuberculosis that mimics frozen shoulder: a retrospective analysis.模仿冻结肩的盂肱关节结核：回顾性分析。
J Shoulder Elbow Surg. 2012 Sep;21(9):1207-12. doi: 10.1016/j.jse.2011.07.026. Epub 2011 Nov 1.
4
Comparison of the modified fluorescent method and conventional Ziehl-Neelsen method in the detection of acidfast bacilli in lymphnode aspirates.改良荧光法与传统萋-尼氏法在检测淋巴结穿刺液中抗酸杆菌的比较。
Cytojournal. 2009 Jul 18;6:13. doi: 10.4103/1742-6413.53887.
5
Multifocal skeletal tuberculosis: a report of three cases.多灶性骨结核：三例报告
Iowa Orthop J. 2006;26:151-3.
6
Multifocal musculoskeletal tuberculosis in children: appearances on computed tomography.儿童多灶性肌肉骨骼结核：计算机断层扫描表现
Skeletal Radiol. 2002 Jan;31(1):1-8. doi: 10.1007/s00256-001-0439-y. Epub 2001 Nov 9.
7
Tuberculosis of peripheral joints: a dilemma in diagnosis.
Tuber Lung Dis. 1993 Dec;74(6):399-404. doi: 10.1016/0962-8479(93)90084-B.
8
Atypical skeletal tuberculosis mimicking neoplasm.酷似肿瘤的非典型骨结核。
Br J Radiol. 1991 Jun;64(762):551-5. doi: 10.1259/0007-1285-64-762-551.