关键词: cbnaat/ xpert/ rif assay cuboid fifth metatarsal mtb (mycobacterium tuberculosis) tuberculosis

来  源:   DOI:10.7759/cureus.43049   PDF(Pubmed)

Abstract:
Tuberculosis affecting the smaller bones of the foot is relatively infrequent. There is a paucity of data related to the tubercular involvement of cuboid and metatarsal bones. Diagnosis is challenging, especially in the absence of pulmonary involvement, a history of trauma, and contact with tuberculosis. We present a rare case of primary tuberculosis of the cuboid and fifth metatarsal without pulmonary involvement. The patient was started on anti-tubercular chemotherapy. A detailed literature search revealed that no such case with concomitant involvement of the cuboid and fifth metatarsal without pulmonary seeding has ever been reported.
摘要:
影响脚部较小骨骼的结核病相对少见。与长方体和meta骨的结核受累有关的数据很少。诊断具有挑战性,尤其是在没有肺部受累的情况下,创伤史,与结核病接触。我们介绍了一例罕见的长方体和第五meta骨原发性结核,没有肺部受累。患者开始接受抗结核化疗。详细的文献检索显示,没有报道过这样的病例,其中长方体和第五meta骨同时受累而没有肺播种。
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