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颈椎结核:一例报告。

Tuberculosis of the Cervical Spine: A Case Report.

作者信息

Jain Dhriti, Dasari Ventaktesh, Kaushik Nikhil, Singh Garima

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Orthopedics and Traumatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2023 Sep 8;15(9):e44911. doi: 10.7759/cureus.44911. eCollection 2023 Sep.

Abstract

Tuberculosis of the cervical spine is a rare but deadly form of tuberculosis (TB), where the infection affects the cervical vertebrae or bones of the neck. It is also known as Pott's disease. The causative organism is Mycobacterium tuberculosis. It usually occurs when TB bacteria spread from other body parts, such as the lungs, to the cervical vertebrae through the bloodstream or lymphatic system. It also shows extrapulmonary involvement, including the central nervous, genitourinary, and lymphatic systems, bones, and joints. Tuberculosis of the spine is often seen. Cervical spine tuberculosis is a rare form of the disease though. If the infection is not treated, it might harm the spinal cord and nerves, resulting in paralysis and other neurological complications. This article presents a 40-year-old female with tuberculosis of the cervical spine complaining of neck pain and stiffness with neurological manifestations and its management with anterior spinal instrumentation. The patient showed improvement in the next follow-up.

摘要

颈椎结核是一种罕见但致命的结核病形式,感染会影响颈椎或颈部骨骼。它也被称为波特氏病。致病微生物是结核分枝杆菌。通常是结核杆菌从身体其他部位(如肺部)通过血液循环或淋巴系统传播到颈椎。它还表现为肺外受累,包括中枢神经、泌尿生殖和淋巴系统、骨骼及关节。脊柱结核较为常见。不过颈椎结核是该病的一种罕见形式。如果感染得不到治疗,可能会损害脊髓和神经,导致瘫痪及其他神经并发症。本文介绍了一名40岁患有颈椎结核的女性,她主诉颈部疼痛和僵硬并伴有神经症状,以及采用前路脊柱内固定术对其进行的治疗。该患者在下次随访时病情有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab0/10560540/759383d2fdb1/cureus-0015-00000044911-i02.jpg

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