临床误诊误治2017，Vol.30Issue(6)：4-6,3.DOI:10.3969/j.issn.1002-3429.2017.06.002
布鲁菌病性脊柱炎误诊为脊柱结核12例分析
Analysis of Brucellosis Spondylitis Misdiagnosed as Spinal Tuberculosis in 12 Patients
蒋雯 1孙建华 1曹城彰 1陈磊 1李江华1
作者信息
- 1. 832000 新疆 石河子,新疆石河子大学医学院第一附属医院骨科中心脊柱外科
- 折叠
摘要
Abstract
Objective To analyze clinical characteristics and causes of brucellosis spondylitis misdiagnosed as spinal tuberculosis in order to improve levels of diagnosis and treatment.Methods Clinical data of 12 patients with brucellosis spondylitis admitted during May 2014 and May 2016, who were misdiagnosed as having spinal tuberculosis, was retrospectively analyzed.Results The misdiagnosed rate was 30% in this group, and average misdiagnosed time was (7.86±2.30) d.Among the 12 patients, 5 patients were misdiagnosed as having tuberculosis of thoracic spine;3 patients were misdiagnosed as having tuberculosis of lumbar spine;3 patients were misdiagnosed as having tuberculous cervical spondylitis;1 patient was misdiagnosed as having cervical and lumbar tuberculosis.Brucellosis spondylitis was confirmed combination of MRI, tuberculin test and brucella agglutination test results, and 8 patients were treated with anti-brucella and anti-infective treatments;4 patients received surgeries and symptomatic treatments, and then patients were discharged after conditions were improved.The patients had good prognosis and no recurrence during 3 months to 2 years of follow-up.Conclusion Clinicians should take into account the possibility of brucella spondylitis for patients having clinical manifestations such as low back pain and fever and ineffective anti-TB treatment, and related examinations should be performed as early as possible to reduce misdiagnosis rate.关键词
脊柱炎/布氏杆菌/误诊/脊柱结核Key words
Spondylitis/Brucella/Misdiagnosis/Spinal tuberculosis分类
医药卫生引用本文复制引用
蒋雯,孙建华,曹城彰,陈磊,李江华..布鲁菌病性脊柱炎误诊为脊柱结核12例分析[J].临床误诊误治,2017,30(6):4-6,3.
