Broniek A, Remiszewski P, Burakowska B
III Kliniki Gruźlicy i Chorób Płuc Instytutu Gruźlicy i Chorób Płuc w Warszawie.
Pol Tyg Lek. 1994;49(18-19):436-8.
A case of a 69-year male patient is reported. His history is an illustration of difficulties in the diagnosis of hip joint tbc. Patient suffered from severe pain in the right hip and thigh while walking for 25 years. Despite abnormal bone structure confirmed by several X-rays, no other examinations were ever performed to establish possible diagnosis. The patient was told to have "an inflammation" or "degeneration" of the bone. Anti-inflammatory and analgesic agents were given him to enable walking for years. Untreated tuberculosis resulted in the complete destruction of the proximal end of thigh bone and unilateral hip joint. Etiology was confirmed when the patient developed disseminated lung tuberculosis. Antitubercular drugs proved effective and brought about fast improvement of patient's health. On completion of chemotherapy, surgical treatment of the affected bones was performed.
报告了一例69岁男性患者的病例。他的病史说明了髋关节结核诊断的困难。患者行走时右髋和大腿严重疼痛达25年。尽管多次X光检查证实骨骼结构异常，但从未进行过其他检查以确定可能的诊断。患者被告知患有骨骼“炎症”或“退变”。多年来一直给他使用抗炎和止痛药物以使其能够行走。未经治疗的结核病导致大腿骨近端和单侧髋关节完全破坏。当患者出现播散性肺结核时，病因得以确诊。抗结核药物证明有效，患者健康状况迅速改善。化疗完成后，对受累骨骼进行了手术治疗。
