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題名 | Tuberculous Arthritis of Sacroiliac Joint with Abscess Formation:A Case Report=薦腸關節結核性關節炎合併膿瘍形成:一病例報告 |
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作者 | 曾政尹; 楊素盆; 李垣樟; 馮長風; 劉正義; Tseng, Cheng-yin; Yang, Su-pen; Lee, Yuarn-jang; Fung, Chang-phone; Liu, Cheng-yi; |
期刊 | 中華醫學雜誌 |
出版日期 | 19970900 |
卷期 | 60:3 1997.09[民86.09] |
頁次 | 頁168-172 |
分類號 | 415.2773 |
語文 | eng |
關鍵詞 | 膿瘍形成; 結核分枝桿菌; 關節炎; 薦腸關節; Abscess formation; Mycobacterium tuberculosis; Arthritis; Sacroiliac joint; |
中文摘要 | 肺外結核病常具罕見的臨床表現。雖然過去幾十年間肺結核病逐漸減少,肺外結核病卻未有同步減少之趨勢。時至今日,其診斷仍相當困難。其中,佔肺外結核病極少數的骨關節結核病在文獻報告中仍不多見,其臨床表現亦呈多樣化。本文報告一年輕男性罹患的右側薦腸關節結核性關節炎合併右側腸骨窩及腸腰肌膿瘍形成。先經放射線學檢查得初步診斷,後藉患部抽取物微生物學檢查確認為結核分枝桿菌感染而證實診斷。經投予抗結核病藥物治療後,患者情況明顯改善並定期在門診追蹤治療。對於可能感染結核分枝桿菌引起不明熱的處理,我們認為重覆相關病灶之放射線學和微生物學檢查是必要的。 |
英文摘要 | Extrapulmonary tuberculosis at times appears to be an unusual presentation of the disease. Its incidence has not decreased, though a slow decline in pulmonary tuberculosis has been observed over the past decades around the world. The diagnosis of extrapulmonary tuberculosis is still rather difficult today. Tuberculosis of the bones and joints, which constitutes a smaller part of extrapulmonary tuberculosis, is relatively rare in documented cases and can yield variable clinical manifestations. This study describes a young male patient who developed a rare condition of tuberculous arthritis of the right sacroiliac joint, with an abscess formation over the anterior aspect of the right iliac fossa and iliopsoas muscle. The diagnosis was made by roentgenographic examinations and proved by microscopic confirmation of the presence tuberculous bacilli in drainage from the involved foci. Antituberculosis therapy was begun thereafter. Symptoms improved and the patient was regularly followed up at the Outpatient Department. It is suggested that in patients with prolonged fever and possible Mycobacterium tuberculosis infections, repeated roentgenographic and microbiological examinations are mandatory. |
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