Yadav Sankalp, Jeyaraman Madhan, Rawal Gautam, Jeyaraman Naveen
Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.
Orthopedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, IND.
Cureus. 2024 Aug 19;16(8):e67170. doi: 10.7759/cureus.67170. eCollection 2024 Aug.
Extrapulmonary tuberculosis is less commonly reported, and isolated tuberculous involvement of bones such as the radius, without any pulmonary lesions, is extremely rare. Diagnosing this condition can be challenging due to ambiguous clinical features and non-specific radiological findings in the early stages. The present case describes a rare instance of isolated tuberculosis of the radius in an immunocompetent Indian male with no pulmonary involvement. The diagnosis was achieved through a high index of suspicion in an endemic region, advanced radiometric investigations, and the isolation of using the cartridge-based nucleic acid amplification test. The patient was started on a 12-month course of appropriate chemotherapy.
肺外结核的报道较少见,而像桡骨这样的骨骼单独出现结核感染且无任何肺部病变的情况极为罕见。由于早期临床特征不明确且放射学表现不具特异性,诊断这种疾病具有挑战性。本病例描述了一名免疫功能正常的印度男性桡骨孤立性结核且无肺部受累的罕见情况。通过在地方病流行地区的高度怀疑、先进的放射测量检查以及使用基于试剂盒的核酸扩增试验进行分离,得以确诊。患者开始接受为期12个月的适当化疗疗程。