Wolfgang G L
Clin Orthop Relat Res. 1978 Oct(136):257-63.
A retrospective study of tuberculosis infection of joints over a 10 year period has identified 21 documented cases. The patients were, for the most part, of rural, middle-class background and usually in the fifth to seventh decade. Diagnosis was commonly missed with the exception of spinal lesions. Presentation was usually monoarticular with roentgenograms showing progressive joint destruction. Sedimentation rate elevation and positive skin testing were helpful, but the diagnosis depended on culture and histologic examination of tissue. Chemotherapy was very effective and urgent surgery was performed on spinal lesions for neurologic deficit.
一项对10年间关节结核感染情况的回顾性研究确定了21例有记录的病例。这些患者大多来自农村中产阶级家庭，年龄通常在50到70岁之间。除脊柱病变外，诊断通常会被漏诊。临床表现通常为单关节受累，X线片显示关节进行性破坏。血沉升高和皮肤试验阳性有一定帮助，但诊断取决于组织培养和组织学检查。化疗非常有效，对于出现神经功能缺损的脊柱病变患者进行了紧急手术。
