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一名免疫功能正常的印度女性的髂骨和髋臼结核伴髂腰肌、闭孔内肌和闭孔外肌脓肿:极为罕见的病例

Tuberculosis of the Iliac Bone and Acetabulum With Iliopsoas, Obturator Internus, and Obturator Externus Abscesses in an Immunocompetent Indian Female: An Extremely Rare Case.

作者信息

Yadav Sankalp

机构信息

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

出版信息

Cureus. 2024 Mar 7;16(3):e55727. doi: 10.7759/cureus.55727. eCollection 2024 Mar.

Abstract

Skeletal tuberculosis is a rare form of extrapulmonary tuberculosis. Due to non-specific clinical features, these cases are often diagnosed very late, ultimately affecting treatment outcomes. The present case is a very rare case of tuberculosis of the iliac bone and acetabulum with iliopsoas, obturator internus, and obturator externus abscesses in an Indian female. She reported pain in her right hip and a limp. It was a difficult diagnosis, especially due to the rare involvement of bones and muscles in the absence of any lesions in the lungs. Nevertheless, the diagnosis was achieved by a detailed radiometric and laboratory workup. She was initiated on antituberculous treatment per her weight for 12 months.

摘要

骨结核是肺外结核的一种罕见形式。由于临床特征不具特异性,这些病例往往很晚才被诊断出来,最终影响治疗效果。本病例是一名印度女性极为罕见的髂骨和髋臼结核,伴有髂腰肌、闭孔内肌和闭孔外肌脓肿。她诉说右髋疼痛且跛行。这是一个难以诊断的病例,尤其是在肺部无任何病变的情况下骨骼和肌肉受累罕见。然而,通过详细的影像学和实验室检查得以确诊。根据她的体重开始给予抗结核治疗,疗程为12个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/900f6064f999/cureus-0016-00000055727-i01.jpg

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