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肾癌患者的脊柱结核

Tuberculosis of the Spine in a Patient With Kidney Cancer.

作者信息

Karabella Irena, Chronopoulos Efstathios, Panagiotakopoulos George, Dontas Ismene A

机构信息

Infectious Diseases, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC.

Orthopaedic Surgery, Laboratory for Research of the Musculoskeletal System, KAT General Hospital, Medical School, National & Kapodistrian University of Athens, Athens, GRC.

出版信息

Cureus. 2023 Mar 20;15(3):e36427. doi: 10.7759/cureus.36427. eCollection 2023 Mar.

DOI:10.7759/cureus.36427
PMID:37090285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10115661/
Abstract

Tuberculosis is a widespread, airborne infectious disease caused by bacteria. This infection is often misdiagnosed, particularly in the case of spinal tuberculosis which can present atypically. Although rare, tuberculosis can mimic bone tumors or metastatic lesions in the spine. In patients with who have cancer and show signs of lymph node involvement and bone lesions, it is important to explore other potential causes as part of the diagnosis process. Here, we present a case of renal cell carcinoma in which a lytic lesion in the spinal cord was initially misdiagnosed as a metastatic lesion due to the presence of cancer. Skeletal tuberculosis is a rare condition, and it is crucial to maintain a high level of suspicion for a proper diagnosis.

摘要

结核病是一种由细菌引起的广泛传播的空气传播传染病。这种感染常常被误诊,尤其是脊柱结核,其表现可能不典型。虽然罕见,但结核病可酷似脊柱的骨肿瘤或转移瘤。对于患有癌症且有淋巴结受累和骨病变迹象的患者,在诊断过程中探索其他潜在病因很重要。在此,我们报告一例肾细胞癌病例,其中脊髓的溶骨性病变最初因存在癌症而被误诊为转移瘤。骨结核是一种罕见病症,保持高度怀疑以进行正确诊断至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f46d/10115661/eb768036c7bf/cureus-0015-00000036427-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f46d/10115661/eb768036c7bf/cureus-0015-00000036427-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f46d/10115661/eb768036c7bf/cureus-0015-00000036427-i01.jpg

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引用本文的文献

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本文引用的文献

1
Tuberculosis Infectiousness and Host Susceptibility.结核病传染性与宿主易感性
J Infect Dis. 2017 Nov 3;216(suppl_6):S636-S643. doi: 10.1093/infdis/jix361.
2
Risk of tuberculosis in patients with solid cancers and haematological malignancies: a systematic review and meta-analysis.实体瘤和血液恶性肿瘤患者的结核病风险:系统评价和荟萃分析。
Eur Respir J. 2017 Aug 24;50(2). doi: 10.1183/13993003.00157-2017. Print 2017 Aug.
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Risk factors for tuberculosis.结核病的危险因素。
Pulm Med. 2013;2013:828939. doi: 10.1155/2013/828939. Epub 2013 Feb 12.
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Effect of delayed diagnosis on severity of Pott's disease.延误诊断对波特氏病严重程度的影响。
Int Orthop. 2012 Feb;36(2):245-54. doi: 10.1007/s00264-011-1432-2. Epub 2012 Jan 4.
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Diagnosis, management and outcome of clinically- suspected spinal infection.临床疑似脊柱感染的诊断、管理及预后
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Tuberculosis of bones and joints.骨与关节结核
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