Left Pubic Tuberculosis Was Misdiagnosed as Synovitis of the Left Hip

Nan-nan Zheng, Zhibin Li
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Abstract

A 51-year-old male patient was admitted to hospital with “1 week of restricted movement in left hip pain.” The patient denied trauma and had no other specific discomfort. Slightly reduced weight and physical strength, normal diet. No previous history of tuberculosis or exposure. Admission examination: no obvious abnormalities in the appearance of the spine, no tenderness and percussion pain. Left groin tenderness (+), left hip and buttock percussion pain (+), left 4-word experiment (+). Admission to complete relevant investigations: consider infectious lesions of the left pubic bone. After admission to the hospital and standardized treatment of tuberculosis, the patient's left pubic pain was significantly improved.
左耻骨结核误诊为左髋关节滑膜炎
51岁男性患者因“左髋关节疼痛,活动受限1周”入院。患者否认有外伤,并无其他特殊不适。体重和体力略有下降,饮食正常。既往无肺结核史或暴露史。入院检查:脊柱外观无明显异常,无压痛及叩击痛。左侧腹股沟压痛(+),左侧髋部及臀部叩击痛(+),左侧4字实验(+)。入院完成相关检查:考虑左耻骨感染性病变。入院后经肺结核规范化治疗,患者左耻骨疼痛明显改善。
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