篇名 | Subsequent Bone Scans in The Demonstration of Resolution of Multiple Tuberculous Osteomyelitis: A Case Report |
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卷期 | 20:1 |
並列篇名 | 系列的骨骼造影顯示多發性結核骨髓炎的緩解 |
作者 | 蔡雅琴 、 蕭聿謙 |
頁次 | 43-46 |
關鍵字 | 99mTc-MDP bone scintigraphy 、 Non-tuberculosis mycobacteria 、 Tuberculous osteomyelitis 、 鎝-99m-MDP骨骼掃描 、 非結核分枝桿菌 、 結核骨髓炎 |
出刊日期 | 200703 |
一位有過結核淋巴炎的45歲女性接受肩膀和胸骨腫塊切片。微生物分析顯示非結核分枝桿菌。全身骨骼掃描顯示多部位骨骼侵犯。經過五個月的治療,臨床情況改善,接續做的骨骼掃描顯示之前受影響的部位的確有所緩解。骨骼掃描在結核骨髓炎可用來界定影響範圍、選擇微生物取樣分析部位以及監利治療效果。
A 45-year-old female with a history of tuberculous lymphadenitis received shoulder and sternal mass biopsy. Microbiological analysis demonstrated non-tuberculosis mycobacteria. The whole body bone scan revealed multiple bone involvement. After a 5-month treatment, clinical parameters showed improvement and a subsequent bone scan showed consistent resolution of the previously noted bone lesions. In conclusion, bone scan is a good tool for tuberculous osteomyelitis for defining disease extent, choosing sites for microbiological biopsy analysis and monitoring treatment response.