坚持诊断结核分枝杆菌单关节炎的必要性:一个独特的病例介绍。

T Bekoulis, P Christodoulou, K Dogramatzis, E Markopoulou, Emmanouel Antonogiannakis, E Kokkinakis, Alexandros P Apostolopoulos, A Manimanaki
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引用次数: 0

摘要

尽管结核病被认为是一种仅限于不发达国家或发展中国家的常见疾病,但它也可能出现在接受来自流行地区的大量移民涌入的国家。就骨骼系统而言,它可能涉及1-6%的结核病患者,而膝关节是仅次于脊椎和髋关节的第三大最常见的受累部位。鉴于只有三分之一的骨骼结核和继发性感染性关节炎患者出现全身症状,结核病通常是惰性的,因此可能会错过或延迟诊断。因此,高度怀疑指数势在必行。在这里,我们的目的是报告一例由结核分枝杆菌引起的单核关节炎病例,该病例发生在一名77岁的本地男子身上,他患有轻度膝关节疼痛六个月,尽管多次向急诊科就诊,但尚未确定诊断。
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The Need for Persistence in the Diagnosis of Mycobacterium Tuberculosis Mono-arthritis: A Unique Case Presentation.

Although tuberculosis (TB) is considered to be a common disease confined to undeveloped or developing countries, it may also appear in countries that accept great migrant influx from endemic areas. In terms of the skeletal system, it can be involved in 1-6% of tuberculosis patients while the knee joint is the third most frequently affected site after spine and hip. Given that systemic symptoms are present in only one-third of patients with skeletal tuberculosis and secondary septic arthritis, TB is often indolent and diagnosis can hence be missed or delayed. As a result, a high index of suspicion is imperative. Here, we aim to report a case of mono-arthritis caused by Mycobacterium tuberculosis in a native 77-year-old man who was suffering from low-grade knee pain for six months and despite multiple presentations to the Accident and Emergency department, diagnosis had not been established.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
46
期刊介绍: MEDICAL IMPLANTS are being used in every organ of the human body. Ideally, medical implants must have biomechanical properties comparable to those of autogenous tissues without any adverse effects. In each anatomic site, studies of the long-term effects of medical implants must be undertaken to determine accurately the safety and performance of the implants. Today, implant surgery has become an interdisciplinary undertaking involving a number of skilled and gifted specialists. For example, successful cochlear implants will involve audiologists, audiological physicians, speech and language therapists, otolaryngologists, nurses, neuro-otologists, teachers of the deaf, hearing therapists, cochlear implant manufacturers, and others involved with hearing-impaired and deaf individuals.
期刊最新文献
The Need for Persistence in the Diagnosis of Mycobacterium Tuberculosis Mono-arthritis: A Unique Case Presentation. Association between Gingival Biotype and Crestal Bone Loss in Implants Placed in Anterior Maxilla. Ipsilateral Hip and Knee Reconstruction Using an Intramedullary Total Femoral Replacement System. Ultrasound-Guided Peripheral Nerve Blocks for Hip Surgery: A Concise Perspective. Sucralfate Prevents Pin Site Infections of External Fixators in Open Tibia Fractures.
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