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一名8岁儿童耻骨联合结核罕见病例报告:该疾病的一种不寻常表现

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease.

作者信息

Singh Roop, Seth Isha, Aiyappan Ram K, Singh Sunayana, Seth Aditya, Tawde Anish, Yadav Chander M, Jain Harsh

机构信息

Orthopedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.

Obstetrics and Gynecology, Amrita Hospital, Faridabad, IND.

出版信息

Cureus. 2023 Mar 14;15(3):e36149. doi: 10.7759/cureus.36149. eCollection 2023 Mar.

Abstract

Tuberculosis is a well-known and ancient disease with a wide range of clinical presentations. Although tuberculosis is a well-known infectious disease, involvement of the symphysis pubis is rare, with only a few documented cases in the medical literature. Distinguishing it from other more common conditions, such as osteomyelitis of the pubic symphysis and osteitis pubis, is essential to avoid delay in diagnosis and to minimize morbidity, mortality, and complications. We present a rare case of tuberculosis of the symphysis pubis in an eight-year-old female from India who was initially misdiagnosed with osteomyelitis. Following the correct diagnosis and commencement of anti-tuberculosis chemotherapy, the patient demonstrated improvement in symptoms and hematological parameters at the three-month follow-up. This case emphasizes the importance of considering tuberculosis as a differential diagnosis in cases of symphysis pubis involvement, especially in areas with a high incidence of tuberculosis. Early diagnosis and appropriate treatment can prevent further complications and improve clinical outcomes.

摘要

结核病是一种广为人知的古老疾病,临床表现多种多样。尽管结核病是一种众所周知的传染病,但耻骨联合受累情况罕见,医学文献中仅有少数病例记载。将其与其他更常见的病症,如耻骨联合骨髓炎和耻骨炎相区分,对于避免诊断延误以及将发病率、死亡率和并发症降至最低至关重要。我们报告一例来自印度的8岁女性耻骨联合结核罕见病例,该患者最初被误诊为骨髓炎。在正确诊断并开始抗结核化疗后,患者在三个月的随访中症状和血液学参数有所改善。该病例强调了在耻骨联合受累病例中,尤其是在结核病高发地区,将结核病作为鉴别诊断的重要性。早期诊断和适当治疗可预防进一步并发症并改善临床结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6696/10101693/b789343e67a2/cureus-0015-00000036149-i01.jpg

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