Meltzer R M, Deehl L J, Karlin J M, Silvani S H, Scurran B L
J Foot Surg. 1985 Jan-Feb;24(1):30-9.
Tuberculosis of the bones and joints is a rare but treatable disease. This curable condition is frequently overlooked in the differential diagnosis, and often serious cases are not diagnosed until after severe joint destruction has already taken place. The literature on tuberculosis of the bones and joints is reviewed and the incidence, etiology, pathogenesis, diagnosis, and treatment of this condition are discussed. A case history of ankle joint involvement is presented in which antibiotic treatment before clinically significant joint destruction had occurred might have prevented surgery. Tuberculous involvement should thus be considered in any patient with chronic and subacute monoarticular arthritis.
骨与关节结核是一种罕见但可治疗的疾病。这种可治愈的病症在鉴别诊断中常常被忽视，而且往往直到严重的关节破坏已经发生后，严重病例才得以诊断。本文回顾了关于骨与关节结核的文献，并讨论了该病症的发病率、病因、发病机制、诊断和治疗。文中呈现了一个踝关节受累的病例史，其中在具有临床意义的关节破坏发生之前进行抗生素治疗或许可以避免手术。因此，对于任何患有慢性和亚急性单关节关节炎的患者，都应考虑结核感染的可能性。
