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结核性脊椎椎间盘炎:两例报告及文献综述

Tuberculous Spondylodiscitis: A Report of Two Cases and Literature Review.

作者信息

Kehayov Ivo I, Davarski Atanas N, Slavov Georgi S, Kitov Borislav D

机构信息

Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR.

Department of Neurology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR.

出版信息

Cureus. 2025 Jun 2;17(6):e85235. doi: 10.7759/cureus.85235. eCollection 2025 Jun.

Abstract

Tuberculosis ranks as one of the most deadly infectious diseases globally. While it primarily attacks the lungs, it can also develop in other parts of the body. It can involve the vertebral column, a condition known as Pott's disease. How often it occurs, what symptoms appear, and how severe it becomes all depend on which spinal segments are involved and how much bone has been damaged. Because the signs of Pott's disease are varied and often vague, even modern healthcare systems can struggle to diagnose it promptly. This delay is the main reason why many patients go on to suffer neurological impairments, spinal instability, and generally poor outcomes, often without ever regaining full neurological function. In this report, we describe two cases of tuberculous spondylodiscitis, highlighting their clinical presentations and imaging results, and we review the literature to outline the most effective strategies for diagnosis and treatment.

摘要

结核病是全球最致命的传染病之一。虽然它主要侵袭肺部,但也可能在身体的其他部位发展。它可累及脊柱,这种情况称为波特氏病。其发病频率、出现的症状以及严重程度均取决于受累的脊柱节段以及骨骼受损的程度。由于波特氏病的体征多样且往往不明确,即使是现代医疗系统也难以迅速做出诊断。这种延误是许多患者继而出现神经功能障碍、脊柱不稳定以及总体预后不佳的主要原因,而且往往无法恢复全部神经功能。在本报告中,我们描述了两例结核性脊椎间盘炎病例,突出了它们的临床表现和影像学结果,并回顾文献以概述最有效的诊断和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c59/12220833/40c24940dd0a/cureus-0017-00000085235-i01.jpg

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