PDF(Pubmed)
Abstract：
Tuberculosis is usually seen in the lungs. However, the involvement of various extrapulmonary sites is due to the spread of the bacteria via blood, lymphatic, or direct inoculation. The present case is a rare presentation of tuberculosis in an Indian female who came with complaints of swelling in her right elbow joint, headache, and cough with expectoration. A diagnostic evaluation resulted in the isolation of Mycobacterium tuberculosis from the sputum samples and elbow joints, which was further supported by an exudative picture on the cerebrospinal fluid examination. The findings were supported by advanced radiometric techniques. She was commenced on an antituberculous treatment per her weight. Disseminated tuberculosis is a challenging diagnosis as there is often a delay in clinical presentation, a lack of awareness about the possibility of multiple sites with tuberculous infection in clinicians, and a time lag in the availability of the culture results.
摘要：
结核病通常见于肺部。然而,各种肺外部位的参与是由于细菌通过血液传播，淋巴管,或直接接种。本案是一名印度女性罕见的结核病表现，她的右肘关节肿胀，头痛,咳嗽咳痰.诊断评估结果从痰液样本和肘关节中分离出结核分枝杆菌，脑脊液检查的渗出性图片进一步支持了这一点。这些发现得到了先进的辐射测量技术的支持。根据她的体重，她开始接受抗结核治疗。播散性结核病是一个具有挑战性的诊断，因为临床表现往往会延迟。临床医生缺乏对多部位结核感染可能性的认识，以及培养结果可用性的时滞。
