Tuberculous Osteomyelitis in the Ulna of a Patient Undergoing Hemodialysis
| Autor: | Tomoya Nishino, Atsushi Mori, Yoko Obata, Hideyuki Arai, Yuka Nakazawa, Hideyuki Hayashi, Shigeru Kohno, Tadashi Uramatsu, Yuichi Inoue, Shoko Tsukasaki, Yoshiaki Muraya, Yoshihiro Yamamoto |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Tuberculosis medicine.medical_treatment Antitubercular Agents Arteriovenous fistula Ulna Risk Assessment Curettage Tuberculosis Osteoarticular Mycobacterium tuberculosis Forearm Renal Dialysis Internal Medicine medicine Humans Aged biology business.industry Osteomyelitis General Medicine medicine.disease biology.organism_classification Combined Modality Therapy Surgery Radiography Diffusion Magnetic Resonance Imaging Treatment Outcome medicine.anatomical_structure Kidney Failure Chronic Female Radiology Hemodialysis Differential diagnosis business Follow-Up Studies |
| Zdroj: | Internal Medicine. 52:135-139 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.52.8437 |
| Popis: | A 76-year-old woman on hemodialysis (HD) presented with pain and swelling in the left wrist and forearm. The osteomyelitis occurred in the part of the ulna adjacent to the arteriovenous fistula. Mycobacterium tuberculosis was identified in pus obtained from the left forearm, leading to a diagnosis of tuberculous osteomyelitis. The patient was treated with anti-tuberculous drugs and her symptoms improved. In this study, we report a case of tuberculous osteomyelitis occurring in the ulna, which is not the usual site of predilection for tuberculosis infection. As HD patients exhibit a high frequency of extrapulmonary tuberculosis, tuberculous osteomyelitis should be considered in the differential diagnosis of infectious osteomyelitis. In addition, it may be useful to perform stab cultures at an early stage in order to diagnose tuberculous osteomyelitis. |
| Databáze: | OpenAIRE |
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