髋关节广泛耐药性结核分枝杆菌感染诊治1例

Diagnosis and treatment of extensively drug-resistant mycobacterium tuberculosis infection of hip joint:A case report

髋关节广泛耐药性结核菌感染临床少见,其确诊所需时间较长,往往确诊时已为晚期,对髋关节的结构和功能已造成巨大破坏,治疗复杂,给患者造成了沉重的负担。中国人民解放军联勤保障部队第九四〇医院收治的1例以左髋关节疼痛为首发症状的年轻患者,初步考虑为左髋关节结核,经一期骨水泥旷置术及规律抗结核治疗5个月后感染复发,二次旷置并行基因检测后确诊为左髋关节广泛耐药性结核分枝杆菌感染。

Extensively drug-resistant mycobacterium tuberculosis infection of the hip joint is rare in clinical practice,and its diagnosis requires a long median time.It is often at an advanced stage at the time of diagnosis.It has caused great damage to the structure and function of the hip joint,and its treatment is complicated,which causes a heavy burden on patients.A young patient with left hip joint pain as the first symptom was admitted to our hospital,initially he was considered having mycobacterium tuberculosis infection of the left hip joint.But the infection recurred after 5 mouths with a primary bone cement exclusion surgery and regular anti-tuberculosis treatment.So we had to perform the second surgery and genetic testing.Later,he was diagnosed as extensively drug-resistant mycobacterium tuberculosis infection in the left hip joint.