Anterior chest wall tuberculous abscess: A case report

被引：13

作者：

Papavramidis T.S. ^{[1
]}

Papadopoulos V.N. ^{[1
]}

Michalopoulos A. ^{[1
]}

Paramythiotis D. ^{[1
]}

Potsi S. ^{[2
]}

Raptou G. ^{[3
]}

Kalogera-Foutzila A. ^{[2
]}

Harlaftis N. ^{[1
]}

机构：

[1] 1st Propedeutic Surgical Clinic, Aristotle's University of Thessaloniki, A.H.E.P.A. University Hospital, Thessaloniki

[2] Department of Radiology, Aristotle's University of Thessaloniki, A.H.E.P.A. University Hospital, Thessaloniki

[3] Department of Pathology, Aristotle's University of Thessaloniki, School of Medicine, Thessaloniki

来源：

Journal of Medical Case Reports | / 1卷 / 1期

关键词：

Granulomatous Inflammation; Hilar Lymph Node; Costal Cartilage; Positive Tuberculin Skin Test; Hematogenous Dissemination;

D O I：

10.1186/1752-1947-1-152

中图分类号：

学科分类号：

摘要：

The granulomatous inflammation of tuberculosis usually involves the lungs and the hilar lymph nodes. Musculoskeletal tuberculosis (TB) occurs in 1-3% of patients with TB, while TB of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB. Furthermore, nowadays it is rarer to find extrapulmonary TB in immunocompetent rather that non-immunocompetent patients. The present case reports a fifty-six-year-old immunocompetent man with an anterior chest wall tuberculous abscess. The rarity of the present case relates both to the localization of the tuberculous abscess, and to the fact that the patient was immunocompetent. The diagnosis of musculoskeletal tuberculous infection remains a challenge for clinicians and requires a high index of suspicion. The combination of indolent onset of symptoms, positive tuberculin skin test, and compatible radiographic findings, strongly suggests the diagnosis. TB, however, must be confirmed by positive culture or histologic proof. Prompt diagnosis and treatment are important to prevent serious bone and joint destruction. © 2007 Papavramidis et al; licensee BioMed Central Ltd.

引用

共 10 条

[1]

Yao D.C., Sartoris D.J., Musculoskeletal tuberculosis, Radiol Clin North Am, 33, pp. 679-689, (1995)

[2]

Goldberg I., Avidor I., Isolated tuberculous tenosynovitis of the Achilles tendon: A case report, Clin Orthop, 194, pp. 185-188, (1985)

[3]

Morris B.S., Maheshwari M., Chalwa A., Chest wall tuberculosis: A review of CT appearances, Br J Radiol, 77, pp. 449-457, (2004)

[4]

Learch T.J., Hsiao N.M., Tuberculous infection of the gracilis muscle and tendon clinically mimicking deep venous thrombosis: Sonographic findings, Skeletal Radiol, 28, pp. 457-459, (1999)

[5]

Morris B.S., Varma R., Garg A., Awasthi M., Maheshwari M., Multifocal musculoskeletal tuberculosis in children: Appearances on computed tomography, Skeletal Radiol, 31, pp. 1-8, (2002)

[6]

Chung Soo Y., Yang I.K., Bae Sang H., Lee Y., Park Hai J., Kim Hak H., Im Jung G., Tuberculous abscess in retromammary region: CT findings, J Comput Tomogr, 20, pp. 766-769, (1996)

[7]

Bickel W.H., Kimbrough R.F., Dahlin D.C., Tuberculous tenosynovitis, JAMA, 151, pp. 31-35, (1953)

[8]

Abdelwahab I.F., Kenan S., Hermann G., Klein M.J., Lewis M.M., Tuberculous peroneal tenosynovitis, J Bone Joint Surg Am, 75, pp. 1687-1690, (1993)

[9]

Adams R., Jones G., Marble H.C., Tuberculous tenosynovitis, N Engl J Med, 223, pp. 706-708, (1940)

[10]

Watts H.G., Lifeso R.M., Current concepts review: Tuberculosis of bones and joints, J Bone Joint Surg Am, 78, pp. 288-298, (1996)

← 1 →