Chang D S, Rafii M, McGuinness G, Jagirdar J S
New York University School of Medicine, New York, USA.
Skeletal Radiol. 1998 Nov;27(11):641-5. doi: 10.1007/s002560050451.
Two cases of primary multifocal tuberculous osteomyelitis with involvement of the rib cage are presented. The lungs were normal and the appearance of the skeletal lesions did not suggest tuberculosis. These lesions were predominantly lytic, with minimal soft tissue involvement. Tuberculosis should be high in the differential diagnosis of multiple destructive bone lesions, especially in patients from regions where tuberculosis is endemic.
本文报告了2例累及胸廓的原发性多灶性结核性骨髓炎病例。肺部正常,骨骼病变的表现不提示结核病。这些病变主要为溶骨性,软组织受累 minimal。在多灶性破坏性骨病变的鉴别诊断中,尤其是来自结核病 endemic 地区的患者,结核病应列为首要考虑。 (注:原文中“minimal soft tissue involvement”和“where tuberculosis is endemic”处的“minimal”和“endemic”未完整给出准确释义,翻译时保留原文形式。)