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无肺部受累的骰骨和第五跖骨原发性结核:1例罕见病例报告

Primary Tuberculosis of the Cuboid and Fifth Metatarsal Without Pulmonary Involvement: A Rare Case Report.

作者信息

Yadav Sankalp, Rawal Gautam, Jeyaraman Madhan

机构信息

Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.

Respiratory Medical Critical Care, Max Super Speciality Hospital, New Delhi, IND.

出版信息

Cureus. 2023 Aug 6;15(8):e43049. doi: 10.7759/cureus.43049. eCollection 2023 Aug.

Abstract

Tuberculosis affecting the smaller bones of the foot is relatively infrequent. There is a paucity of data related to the tubercular involvement of cuboid and metatarsal bones. Diagnosis is challenging, especially in the absence of pulmonary involvement, a history of trauma, and contact with tuberculosis. We present a rare case of primary tuberculosis of the cuboid and fifth metatarsal without pulmonary involvement. The patient was started on anti-tubercular chemotherapy. A detailed literature search revealed that no such case with concomitant involvement of the cuboid and fifth metatarsal without pulmonary seeding has ever been reported.

摘要

影响足部较小骨骼的结核病相对少见。关于骰骨和跖骨结核累及的数据较少。诊断具有挑战性,尤其是在没有肺部受累、外伤史以及无结核病接触史的情况下。我们报告一例罕见的原发性骰骨和第五跖骨结核,无肺部受累。患者开始接受抗结核化疗。详细的文献检索显示,从未有过骰骨和第五跖骨同时受累且无肺播散的此类病例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f93d/10480574/c5534d22a032/cureus-0015-00000043049-i01.jpg

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