“亲吻死骨”——骨-关节结核被遗忘的一种表现形式。一例病例报告。

'Kissing sequestra'--a forgotten manifestation of osteo-articular tuberculosis. A case report.

作者信息

Drummond-Webb J J, Schnaid E

出版信息

S Afr Med J. 1986 Apr 12;69(8):514-5.

Abstract

Osteo-articular tuberculosis may be difficult to diagnose radiologically. A male patient with pain in the left hip presented with radiological features of the disease--narrowing of the joint space, peri-articular osteopenia, subchondral erosions and cavity formation. In addition 'kissing sequestra' were present in the adjacent femoral head and acetabular joint surfaces. This radiological feature, described as common by Phemeister and Pomerantz in 1933, has been largely overlooked in recent literature. The presence of 'kissing sequestra' is a valuable diagnostic aid and should not be overlooked.

摘要

骨关节结核在放射学上可能难以诊断。一名左髋疼痛的男性患者呈现出该病的放射学特征——关节间隙变窄、关节周围骨质减少、软骨下侵蚀和空洞形成。此外，相邻的股骨头和髋臼关节面存在“亲吻死骨”。这种放射学特征在1933年被费梅斯特和波默兰茨描述为常见，但在最近的文献中基本被忽视了。“亲吻死骨”的存在是一种有价值的诊断辅助手段，不应被忽视。