临床误诊误治Issue(8)：45-48,4.DOI:10.3969/j.issn.1002-3429.2015.08.018
布鲁杆菌脊柱炎误诊为脊柱结核21例临床分析
Clinical Analysis of 21 Cases of Spinal Brucellosis Misdiagnosed as Spinal Tuberculosis
王金河 1李红 1田梅 1全昌斌 1袁小东1
作者信息
- 1. 100091 北京，解放军309医院结核科，放射科
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics of spinal brucellosis and analyze cause of misdiagno-sis and formulate the relevant measures to prevent misdiagnosis. Methods The clinical data of 21 cases of spinal brucellosis patients misdiagnosed as spinal tuberculosis were retrospectively analyzed. Results The clinical manifestations in all cases were joints pain (20 cases), persistent chest, pocket and back pain (19 cases), local tenderness and taps(19 cases), inter-mittent fever and fatigue (19 cases), loss of appetite(14 cases), radiating pain of nerve root (8 cases), night sweating and angular (5 cases). All the cases were misdiagnosed as spinal tuberculosis imaging examination in early stage before operation. The time of misdiagnosis was 7 days to 13 months. Lesions involved lumbar vertebra in 18 cases, thoracic vertebra in 2 cases, and cervical vertebra in 1 case. All cases were confirmed as spinal brucellosis by operation and pathological examination. Af-ter anti-brucellosis treatment for 2 weeks, sweating disappeared in 19 cases, and pocket pain was relieved in 15 cases. After continuous treatment for 12 weeks all the cases were clinically cured. No patients had recurrence and ( or) complications dur-ing a 6-month follow up. Conclusion The spinal brucellosis tends to be misdiagnosed as spinal tuberculosis in early stage for its complex and changeable clinical features. The spinal brucellosis may be diagnosed based on brucellosis clinical manifesta-tions, imaging characteristics, pathologic examination and serologic test.关键词
布鲁杆菌病/脊柱炎/误诊/结核,脊柱Key words
Brucellosis/Spondylitis/Misdiagnosis/Tuberculosis, spinal分类
医药卫生引用本文复制引用
王金河,李红,田梅,全昌斌,袁小东..布鲁杆菌脊柱炎误诊为脊柱结核21例临床分析[J].临床误诊误治,2015,(8):45-48,4.
