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以免我们忘记脊柱结核(波特氏脊柱病):具有不寻常表现的病例系列

Lest we forget spinal tuberculosis (Potts's spine): Case series with unusual presentation.

作者信息

Khan Sameena, Vyawahare Chanda, Mirza Shahzad, Gandham Nageswari R, Mukhida Sahjid

机构信息

Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018, India.

Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018, India.

出版信息

Indian J Tuberc. 2023 Apr;70(2):258-262. doi: 10.1016/j.ijtb.2022.08.003. Epub 2022 Aug 27.

Abstract

Pott's disease, also known as TB spondylitis, is a very uncommon extrapulmonary infection caused by Mycobacterium tuberculosis. As its prevalence is not high it can easily be underdiagnosed. Magnetic resonance imaging (MRI), computed tomographic (CT) guided needle aspiration, or biopsy are known to be the best techniques for early histopathological diagnosis along with confirmation by microbiological results. Ziehl Neelson stain (ZN) can detect Mycobacterium infections when clinically suspected samples are adequate and optimally stained. No single method or simple guideline can diagnose spinal tuberculosis. Early diagnosis and prompt treatment are necessary to prevent permanent neurological disability and to minimize spinal deformity. We are reporting three cases of Potts disease which could have been easily missed if we would have relied on one single investigation.

摘要

波特氏病,又称结核性脊柱炎,是一种由结核分枝杆菌引起的非常罕见的肺外感染。由于其发病率不高,很容易漏诊。磁共振成像(MRI)、计算机断层扫描(CT)引导下的针吸活检或活检是早期组织病理学诊断以及微生物学结果确认的最佳技术。当临床疑似样本充足且染色最佳时,萋-尼氏染色(ZN)可检测结核分枝杆菌感染。没有单一的方法或简单的指南能够诊断脊柱结核。早期诊断和及时治疗对于预防永久性神经功能障碍和使脊柱畸形最小化是必要的。我们报告三例波特氏病病例,如果仅依靠单一检查,这些病例很容易被漏诊。

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