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中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (1): 112-117.doi: 10.3969/j.issn.1000-6621.2019.01.022

所属专题: 骨关节结核外科治疗专题

• 临床病例讨论 • 上一篇    下一篇

一例多发性骨关节结核并发皮肤结核患者的诊治过程分析

谢龙舟1,张运刚2,向薛名1,赵蓓1,张秀琴1,李红1,岳金才1,朱桂芳1,田甜1,钟吉伟1,钟家勇3,粟仲锐1()   

  1. 1. 427000 张家界市人民医院感染科
    2. 影像科
    3. 骨科
  • 收稿日期:2018-08-08 出版日期:2019-01-10 发布日期:2019-01-09

Analysis on diagnosis and treatment process of one patient with multiple osteoarticular tuberculosis complicated with multiple cutaneous tuberculosis

XIE Long-zhou1,ZHANG Yun-gang2,XIANG Xue-ming1,ZHAO Bei1,ZHANG Xiu-qin1,LI Hong1,YUE Jin-cai1,ZHU Gui-fang1,TIAN Tian1,ZHONG Ji-wei1,ZHONG Jia-yong3,SU Zhong-rui1()   

  1. 1. Infectious Disease Department, Zhangjiajie People’s Hospital, Zhangjiajie 427000, China
  • Received:2018-08-08 Online:2019-01-10 Published:2019-01-09

摘要:

多发性骨关节结核并发皮肤结核非常罕见,临床早期诊断困难。作者通过临床多学科协作诊治1例全身多发性骨关节结核并发皮肤结核患者,对诊治过程进行深入的分析讨论,希望增强临床医生对不典型多发性骨关节结核并发皮肤结核的重视与认识,同时提高诊断与治疗能力,以利于早期发现、早期治疗。

关键词: 结核, 皮肤, 脓肿, 结核, 骨关节, 延误诊断, 转诊和会诊

Abstract:

Multiple sites of osteoarticular tuberculosis combined with multiple cutaneous tuberculosis is very rare and difficult to be early diagnosed. One patient with multiple tuberculosis of bone and joint with multiple skin tuberculosis was reported, who was diagnosed and treated via collaborations of multiple related departments. In order to enhance clinicians’ knowledge and raise up their awareness to atypical multiple osteoarticular tuberculosis and complicated with skin tuberculosis, this paper conducted deep analysis and discussion on clinical diagnosis and treatment process of this patient. Meanwhile, it is helpful to improve clinicians’ abilities of TB diagnosis and treatment, which will bring benefits to the patients on early diagnosis and early treatment.

Key words: Tuberculosis, cutaneous, Abscess, Tuberculosis, osteoarticular, Delayed diagnosis, Re-ferral and consultation