Tsay M H, Chen M C, Jaung G Y, Pang K K, Chen B F
Department of Internal Medicine, Mackay Memorial Hospital, Taitung City, Taipei, Taiwan ROC.
J Formos Med Assoc. 1995 Jul;94(7):428-31.
Skeletal tuberculosis (TB) generally involves the spine and large joints. Involvement of most other bones has been reported, but tuberculosis of the pubic symphysis is relatively unusual. This paper reports an unusual case of multiple bone lesions in the right symphysis, left sacroiliac joint and left elbow. The radiologic appearance simulated widespread metastatic disease or chondrosarcoma, but the diagnosis of tuberculosis was proven by biopsy and culture. Eight months after starting antituberculous treatment, the patient experienced an improvement in pain and limping gait, and felt well. Radiography of the pelvis also showed improvement. It is proposed that antituberculous therapy in such cases should be maintained for at least 1 year.
骨结核通常累及脊柱和大关节。虽然有报道称其他大多数骨骼也会受累，但耻骨联合结核相对少见。本文报告了一例罕见病例，患者右侧耻骨联合、左侧骶髂关节和左侧肘部出现多处骨病变。影像学表现类似广泛转移性疾病或软骨肉瘤，但活检和培养证实为结核。开始抗结核治疗8个月后，患者疼痛和跛行步态有所改善，感觉良好。骨盆X线检查也显示有所改善。建议此类病例的抗结核治疗应至少持续1年。
