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[一名血液透析患者的骨结核——一个诊断难题]

[Bone tuberculosis in a hemodialyzed patient--a difficult diagnostic problem].

作者信息

Kisielnicka E, Sulima-Gillow A, Rutkowski B

机构信息

Kliniki Chorób Nerek Akademii Medycznej w Gdańsku.

出版信息

Pol Arch Med Wewn. 1994 Sep;92(3):266-9.

PMID:7808937
Abstract

Recent observations indicate quite high incidence of tuberculosis (tbc) in haemodialysis population. But there are really only few reports of arthritis the infection. Mycobacterial process in this location may imitate many other pathological states. Our report refers to 45-year-old man with right knee the infection and the peri-arthritic tissue, which developed after 8 years of renal replacement treatment. No evidence of the was noted before. Chronic pain, swelling and instability of the knee led finally to surgical extraction of diagnostic material, which contributed to final diagnosis. We consider this report to be important because of only few reported cases of the arthritis. Additionally unnecessary delay in commencement of treatment may lead to bone destruction.

摘要

近期观察表明,血液透析人群中结核病(TBC)的发病率相当高。但关于该感染引发关节炎的报道却非常少。该部位的分枝杆菌感染可能会模仿许多其他病理状态。我们的报告涉及一名45岁男性,在接受肾脏替代治疗8年后,右膝出现感染及关节周围组织病变。此前未发现相关迹象。膝关节的慢性疼痛、肿胀和不稳定最终促使手术取出诊断材料,这有助于最终确诊。我们认为这份报告很重要,因为关于这种关节炎的报道病例很少。此外,治疗开始的不必要延迟可能会导致骨质破坏。

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