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脊柱结核的诊断、治疗与预后:一例报告

Diagnosis, Management, and Prognosis of Spinal Tuberculosis: A Case Report.

作者信息

Talebzadeh Arjavon T, Talebzadeh Nojan

机构信息

Surgery, California Northstate University College of Medicine, Sacramento, USA.

Surgery, South County Surgery Center, San Diego, USA.

出版信息

Cureus. 2023 Feb 21;15(2):e35262. doi: 10.7759/cureus.35262. eCollection 2023 Feb.

Abstract

Spinal tuberculosis (TB) is a condition that affects numerous people around the world. The incidence of TB prior to the pandemic was decreasing by about 1.8% per year; however, COVID-19 has complicated this incidence rate leading to an increase of 4.5% in 2020 and 2021. Spinal TB is a rare event in all TB patients. The management could be multifactorial including location, severity, and symptom, and this case demonstrates an example of issues to consider in the diagnosis and management of patients. This is a case of a patient presenting with back pain which was subsequently diagnosed as spinal TB. We will review this patient's presentation and consideration for multifactorial opinions in the literature. This literature review demonstrates that there is no one treatment option available. Providers need to tailor treatment to each individual case. This is an example of a case that illustrates that diagnosis of spinal TB is not straightforward and clinicians may have to make a judgment call and treat prophylactically to prevent a poor prognosis.

摘要

脊柱结核是一种影响着世界各地众多人群的疾病。在新冠疫情大流行之前,结核病的发病率每年约下降1.8%;然而,新冠疫情使这一发病率变得复杂,导致2020年和2021年发病率上升了4.5%。脊柱结核在所有结核病患者中是一种罕见情况。其治疗可能涉及多方面因素,包括病变位置、严重程度和症状等,本病例展示了在患者诊断和治疗中需要考虑的问题。这是一例以背痛就诊的患者,随后被诊断为脊柱结核。我们将回顾该患者的临床表现以及文献中多方面的观点考量。这篇文献综述表明,不存在单一的治疗方案。医疗服务提供者需要针对每个病例量身定制治疗方案。这是一个例子,说明脊柱结核的诊断并非简单直接,临床医生可能不得不做出判断并进行预防性治疗以防止预后不良。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e41d/10035557/60e6638416aa/cureus-0015-00000035262-i01.jpg

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