脊柱肿瘤或结核- 1例报告及简短文献复习

A. Milenkovic, J. Javorac, D. Živanović, S. Kasikovic-Lecic, Vanja Tovilovic, M. Ilic
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摘要

介绍。在传染病中,结核病的发病率和死亡率居首位。它主要影响肺部,但它可以影响身体的任何器官。病例报告。29岁女性患者,卡介苗疫苗接种,人类免疫缺陷病毒阴性,不吸烟,活跃的运动员,脊柱磁共振成像显示Th10椎体塌陷,伴有骨内浸润、骨外椎前和体外扩散到椎管的征象。Th10和Th11的椎体切除术与Th9-12的前路融合通过神经外科干预进行。椎体组织病理学检查证实为坏死性肉芽肿性炎症。Ziehl-Neelsen染色未见抗酸杆菌,结核分枝杆菌培养阳性。胸部x线和计算机断层扫描正常,诱导痰涂片镜检结核分枝杆菌阴性。抗结核治疗持续12个月。结论。脊柱结核是与化脓性感染和转移性骨肿瘤相关的鉴别诊断问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A spinal tumor or tuberculosis - a case report and short literature review
Introduction. Among infectious diseases, tuberculosis ranks first in terms of morbidity and mortality. It mainly affects the lungs, but it can affect any organ in the body. Case Report. A 29-year old female patient, bacillus Calmette-Guerin vaccinated, human immunodeficiency virus-negative, non-smoker, active athlete, presented with magnetic resonance imaging of the spine indicating vertebral body collapse of Th10 with signs of intraosseous infiltration, extraosseous prevertebral, and extracorporeal spread into the spinal canal. Corpectomy of Th10 and Th11 with an anterior fusion of Th9-12 was performed by neurosurgical intervention. Histopathological examination of the vertebral body confirmed a necrotic granulomatous inflammation. No acid-fast bacilli were seen by Ziehl-Neelsen staining, while Mycobacterium tuberculosis culture was positive. Chest X-ray and computed tomography were normal, induced sputum smear microscopy was negative for Mycobacterium tuberculosis. The antituberculosis therapy lasted for 12 months. Conclusion. Spinal tuberculosis is a differential diagnostic problem in relation to pyogenic infections and metastatic bone tumors.
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