布魯菌病性脊柱炎誤診為脊柱結(jié)核1例報告并文獻復(fù)習(xí)
發(fā)布時間:2018-01-31 17:20
本文關(guān)鍵詞: 布魯菌病性脊柱炎 脊柱結(jié)核 誤診 出處:《中國實用內(nèi)科雜志》2017年06期 論文類型:期刊論文
【摘要】:正布魯菌病又稱馬耳他熱,是由布魯桿菌引起的人畜共患的傳染變態(tài)反應(yīng)性疾病~([1]),脊椎多受累,在臨床和影像學(xué)方面與脊柱結(jié)核有許多相似的表現(xiàn),很容易引起誤診。現(xiàn)將我院收治的1例布魯菌病患者的診治過程報道如下。1臨床資料患者女,58歲,漢族。因"左側(cè)臀部疼痛及發(fā)熱21 d"于2016-06-21入院;患者21 d前無明顯誘因感覺左側(cè)臀部疼痛,行走后加重,休息后減輕,發(fā)熱前伴寒戰(zhàn),最高體溫38.5℃,晚間9時左右體
[Abstract]:P. brucellosis, also known as Maltese fever, is a zoonotic infectious allergic disease caused by brucellosis. [The spinal cord is often involved and has many similar clinical and imaging manifestations with spinal tuberculosis. It is easy to cause misdiagnosis. The diagnosis and treatment of a brucellosis patient in our hospital is reported as follows: 1 the clinical data of the patient is 58 years old. Han nationality. "left hip pain and fever for 21 days" was admitted in 2016-06-21; The patient had no obvious cause to feel pain in the left buttocks 21 days before, aggravated after walking, relieved after rest, shivering before fever, with a maximum body temperature of 38.5 鈩,
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