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病例报告824:一名结核菌素皮肤试验阴性的患者,结核病表现为前臂软组织肿块。

Case report 824: Tuberculosis presenting as a soft tissue forearm mass in a patient with a negative tuberculin skin test.

作者信息

George J C, Buckwalter K A, Braunstein E M

机构信息

Department of Radiology, Indiana University School of Medicine, Indianapolis 46202-5253.

出版信息

Skeletal Radiol. 1994 Jan;23(1):79-81. doi: 10.1007/BF00203710.

DOI:10.1007/BF00203710
PMID:8160045
Abstract

Tuberculosis presenting as a soft tissue mass is rare. The diagnosis should be considered in patients with radiographic findings of massive soft tissue swelling and cortical bone destruction. Such patients may present with few clinical findings and have no evidence of prior exposure to tuberculosis or history of immunosuppression. Computed tomography may be of use in distinguishing infection from malignancy.

摘要

表现为软组织肿块的结核病很罕见。对于有大量软组织肿胀和皮质骨破坏影像学表现的患者,应考虑作出该诊断。这类患者可能临床症状较少,且无既往接触结核病史或免疫抑制史。计算机断层扫描可能有助于区分感染与恶性肿瘤。

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Tuberculous pyomyositis of forearm muscles.前臂肌肉结核性脓性肌炎
Hand (N Y). 2009 Mar;4(1):88-91. doi: 10.1007/s11552-008-9127-x. Epub 2008 Aug 20.
3
Granulomatous tenosynovitis: a rare musculoskeletal manifestation of tuberculosis.肉芽肿性腱鞘炎:一种罕见的结核性肌肉骨骼表现。

本文引用的文献

1
An analysis of adult skeletal tuberculosis.
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2
Tuberculosis of the elbow; a study of thirty-one cases.肘部结核;31例病例研究。
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Clinical and diagnostic features of tuberculous arthritis.结核性关节炎的临床及诊断特征
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Tuberculosis as a manifestation of the acquired immunodeficiency syndrome (AIDS).结核病作为获得性免疫缺陷综合征(艾滋病)的一种表现形式。
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5
Case report 533: Tuberculosis of calcaneus and talus with negative tuberculin skin test.病例报告533:跟骨和距骨结核,结核菌素皮肤试验阴性。
Skeletal Radiol. 1989;18(2):153-5. doi: 10.1007/BF00350668.
6
Acquired immunodeficiency syndrome and extrapulmonary tuberculosis in the United States.美国的获得性免疫缺陷综合征与肺外结核病
Arch Intern Med. 1990 Sep;150(9):1913-6.
7
Extrapulmonary tuberculosis in the United States.美国的肺外结核病
Am Rev Respir Dis. 1990 Feb;141(2):347-51. doi: 10.1164/ajrccm/141.2.347.
8
Tuberculous arthritis. Report of a case with multiple joint involvement and periarticular tuberculous abscesses.
J Rheumatol. 1990 Mar;17(3):399-401.
9
Tuberculosis morbidity in the United States: final data, 1990.美国结核病发病率:1990年最终数据
MMWR CDC Surveill Summ. 1991 Dec;40(3):23-7.
10
Tuberculous abscesses in patients with AIDS.
Clin Infect Dis. 1992 May;14(5):1040-4. doi: 10.1093/clinids/14.5.1040.