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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.

DOI:10.7759/cureus.55727
PMID:38586629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10998663/
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/b23754a0e30f/cureus-0016-00000055727-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/900f6064f999/cureus-0016-00000055727-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/9ead071c418e/cureus-0016-00000055727-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/cc54fede2e76/cureus-0016-00000055727-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/8dd595dcb41e/cureus-0016-00000055727-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/94eb76d88f33/cureus-0016-00000055727-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/b23754a0e30f/cureus-0016-00000055727-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/900f6064f999/cureus-0016-00000055727-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/9ead071c418e/cureus-0016-00000055727-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/cc54fede2e76/cureus-0016-00000055727-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/8dd595dcb41e/cureus-0016-00000055727-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/94eb76d88f33/cureus-0016-00000055727-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f3f/10998663/b23754a0e30f/cureus-0016-00000055727-i06.jpg

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本文引用的文献

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Iliac Bone Tuberculosis Presenting as Left Thigh Swelling in an Indian Female Patient: A Rare Case.一名印度女性患者以左大腿肿胀为表现的髂骨结核:1例罕见病例
Cureus. 2022 Aug 23;14(8):e28297. doi: 10.7759/cureus.28297. eCollection 2022 Aug.
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Isolated psoas abscess caused by : A rare case report.孤立性腰大肌脓肿病因:一例罕见病例报告。
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Primary psoas tuberculosis abscess with an iliac bone lytic lesion: a case report.原发性腰大肌结核脓肿伴髂骨溶骨性病变:一例报告。
J Med Case Rep. 2022 May 18;16(1):209. doi: 10.1186/s13256-022-03417-4.
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A report of two challenging cases of bone infection: . How to manage?两例具有挑战性的骨感染病例报告:如何处理?
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Iliac bone tuberculosis with bicompartmental abscess.髂骨结核伴双腔脓肿
BMJ Case Rep. 2018 Aug 4;2018:bcr-2018-226606. doi: 10.1136/bcr-2018-226606.
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Epidemiology of Musculoskeletal Tuberculosis in an Area with High Disease Prevalence.疾病高发地区肌肉骨骼结核的流行病学
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Diagnosis and treatment of extrapulmonary tuberculosis.肺外结核的诊断与治疗
Tuberc Respir Dis (Seoul). 2015 Apr;78(2):47-55. doi: 10.4046/trd.2015.78.2.47. Epub 2015 Apr 2.
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Primary obturator internus and obturator externus pyomyositis.原发性闭孔内肌和闭孔外肌脓性肌炎
Am J Case Rep. 2013 Apr 5;14:94-8. doi: 10.12659/AJCR.883871. Print 2013.
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Tuberculous pyomyositis of the thigh masquerading as malignancy with concomitant tuberculous flexor tenosynovitis and dactylitis of the hand.大腿部结核性脓性肌炎伪装成恶性肿瘤,同时伴有手部结核性屈指肌腱腱鞘炎和指炎。
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