鸟-胞内分枝杆菌复合群脊柱疾病的诊断与治疗进展

doi:10.19982/j.issn.1000-6621.20230020

摘要/Abstract

摘要：

近年来,鸟-胞内分枝杆菌复合群脊柱疾病的报道逐渐增多,临床误诊误治的情况多有报道,治疗效果较差。笔者综述了鸟-胞内分枝杆菌复合群脊柱疾病的流行病学特征与易感因素,对其临床表现、影像学检查和实验室检查进展进行回顾,并分析误诊及治疗效果不理想的原因,旨在加深临床医生对鸟-胞内分枝杆菌复合群脊柱疾病的理解,促进鸟-胞内分枝杆菌复合群脊柱疾病的规范化诊断与治疗。

关键词: 分枝杆菌感染,鸟,细胞内, 结核,脊柱, 诊断,鉴别, 治疗学

Abstract:

In recent years, more and more reports have been reported about the spinal infection of Mycobacterium avium-intracellular complex (MAC) group, and more cases of clinical misdiagnosis and mistreatment have been reported. The treatment effect of this disease is poor. This paper reviews the epidemiology and susceptibility factors of MAC vertebral osteomyelitis, the clinical manifestations, imaging examination and laboratory examination, and analyzes the causes of misdiagnosis and unsatisfactory therapeutic effect, so as to help clinicians understand more about MAC spinal infection, and promote the standardized diagnosis and treatment of MAC vertebral osteomyelitis.

Key words: Mycobacterium avium-intracellulare infection, Tuberculosis, spinal, Diagnosis, differential, Therapeutics

中图分类号:

周伟东, 张正冬, 林梅, 李同霞. 鸟-胞内分枝杆菌复合群脊柱疾病的诊断与治疗进展[J]. 中国防痨杂志, 2023, 45(4): 420-425. doi: 10.19982/j.issn.1000-6621.20230020

Zhou Weidong, Zhang Zhengdong, Lin Mei, Li Tongxia. Progress in diagnosis and treatment of Mycobacterium avium-intracellular complex vertebral osteomyelitis[J]. Chinese Journal of Antituberculosis, 2023, 45(4): 420-425. doi: 10.19982/j.issn.1000-6621.20230020

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