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一名肺结节病患者合并细胞内分枝杆菌性膝关节炎和髌骨骨髓炎。病例报告及文献综述。

Coexistent Mycobacterium intracellulare gonarthritis and patellar osteomyelitis in a patient with pulmonary sarcoidosis. A case report and literature review.

作者信息

Namey T C, Frogameni A D

出版信息

Orthopedics. 1986 Mar;9(3):425-30. doi: 10.3928/0147-7447-19860301-17.

DOI:10.3928/0147-7447-19860301-17
PMID:3960781
Abstract

We present a 48-year-old man with known pulmonary sarcoidosis who developed septic arthritis of the left knee with concomitant patellar osteomyelitis due to Mycobacterium intracellulare. The patient underwent synovectomy and was started on appropriate combination chemotherapy, but clinical improvement did not occur until patellectomy was performed. Both bone and radiogallium scans were important in the medical and surgical management of this patient.

摘要

我们报告一名48岁患有结节病的男性患者,其因细胞内分枝杆菌感染导致左膝脓毒性关节炎并伴有髌骨骨髓炎。该患者接受了滑膜切除术,并开始进行适当的联合化疗,但直到进行髌骨切除术后临床症状才有所改善。骨扫描和放射性镓扫描在该患者的药物及手术治疗中均具有重要意义。

相似文献

1
Coexistent Mycobacterium intracellulare gonarthritis and patellar osteomyelitis in a patient with pulmonary sarcoidosis. A case report and literature review.一名肺结节病患者合并细胞内分枝杆菌性膝关节炎和髌骨骨髓炎。病例报告及文献综述。
Orthopedics. 1986 Mar;9(3):425-30. doi: 10.3928/0147-7447-19860301-17.
2
Mycobacterium intracellulare presenting as a sarcoid-like illness.
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Polyarthritis due to Mycobacterium kansasii in a patient with rheumatoid arthritis.一名类风湿关节炎患者罹患堪萨斯分枝杆菌所致的多关节炎。
Ann Rheum Dis. 1980 Feb;39(1):90-4. doi: 10.1136/ard.39.1.90.
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A 45-year-old man with sarcoidosis, fever and skin lesions.一名患有结节病、发热和皮肤病变的45岁男性。
Acta Reumatol Port. 2015 Oct-Dec;40(4):388-9.
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Mycobacterium terrae osteomyelitis and septic arthritis in a normal host. A case report.正常宿主中的地分枝杆菌骨髓炎和脓毒性关节炎。病例报告。
Clin Orthop Relat Res. 1989 Jan(238):308-10.
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Recurrent mycobacterial osteomyelitis. Report of a case due to Mycobacterium avium-intracellulare-scrofulaceum complex and BCG vaccination.复发性分枝杆菌性骨髓炎。1例由鸟分枝杆菌-胞内分枝杆菌-瘰疬分枝杆菌复合群及卡介苗接种引起的病例报告。
Arch Orthop Trauma Surg (1978). 1982;100(4):277-80. doi: 10.1007/BF00381669.
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Mycobacterium avium-intracellulare infection of the knee joint. Case report.
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Unusual scintigraphic appearance of osteomyelitis secondary to atypical mycobacterium.非典型分枝杆菌继发骨髓炎的异常闪烁显像表现。
Clin Nucl Med. 1980 May;5(5):189-90. doi: 10.1097/00003072-198005000-00002.
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Acute osteomyelitis of the patella 50 years after a knee fusion for septic arthritis. A case report.
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引用本文的文献

1
Nontuberculous mycobacterial osteomyelitis.非结核分枝杆菌性骨髓炎。
Infect Dis (Lond). 2015;47(10):673-85. doi: 10.3109/23744235.2015.1040445. Epub 2015 Apr 27.
2
Mycobacterium avium arthritis with extra-articular abscess in a patient with mixed connective tissue disease.混合性结缔组织病患者并发鸟分枝杆菌关节炎伴关节外脓肿
Korean J Intern Med. 2003 Jun;18(2):119-21. doi: 10.3904/kjim.2003.18.2.119.
3
Atypical mycobacterium osteomyelitis of the fibula.腓骨非典型分枝杆菌骨髓炎
Int Orthop. 1993;17(1):48-50. doi: 10.1007/BF00195224.