Tuberculosis of the greater trochanter of the femur is caused by mycobacterium tuberculosis directly or indirectly invading the greater trochanter of the femur.The clinical manifestations are intermittent pain on the ...Tuberculosis of the greater trochanter of the femur is caused by mycobacterium tuberculosis directly or indirectly invading the greater trochanter of the femur.The clinical manifestations are intermittent pain on the side,low fever and night sweat all over the body.The patient was admitted to the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine on May 27,2020 with the chief complaint of"intermittent pain in the left hip for 2 years,aggravated for more than 1 month".The pre-admission examination was diagnosed as a"bone defect of the left femoral greater trochanter to be investigated."After admission,relevant examinations were actively improved,but the diagnosis could not be clearly made.The diagnosis was left with greater trochanter tuberculosis.The case report,draws the following conclusions:the disease is characterized by insidious onset,low incidence and atypical symptoms,which is prone to misdiagnosis and missed diagnosis in clinical practice.Imaging and laboratory tests can provide more diagnostic evidence before diagnosis,but pathological examination is the main basis for diagnosis.In addition,since the symptoms are not obvious and it is difficult to obtain pathological tissues in the early stage,most patients reach the advanced stage of the disease when they are first diagnosed.The diagnosis and treatment thinking of doctors is relatively fixed when they treat patients.This paper aims to improve the understanding and treatment ideas of the clinical characteristics,laboratory and imaging examination of the disease by reporting this case,which is of great significance to the diagnosis and treatment of the disease.展开更多
基金was funded by Key Research And Development Project of Science and Technology Department of Shaanxi Province(No.2021SF419)Key Research And Development Program of Social Development of Xianyang Science and Technology Bureau(No.2020K02-109)+1 种基金Discipline Construction Innovation Team of Shaanxi University of Traditional Chinese Medicine(No.2019YL-02)Shaanxi University of Traditional Chinese Medicine Graduate Student Innovation Project of Universal-level scientific Research Project(Study on the mechanism of acupotomy in the treatment of femoral head necrosis 2021CX12)。
文摘Tuberculosis of the greater trochanter of the femur is caused by mycobacterium tuberculosis directly or indirectly invading the greater trochanter of the femur.The clinical manifestations are intermittent pain on the side,low fever and night sweat all over the body.The patient was admitted to the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine on May 27,2020 with the chief complaint of"intermittent pain in the left hip for 2 years,aggravated for more than 1 month".The pre-admission examination was diagnosed as a"bone defect of the left femoral greater trochanter to be investigated."After admission,relevant examinations were actively improved,but the diagnosis could not be clearly made.The diagnosis was left with greater trochanter tuberculosis.The case report,draws the following conclusions:the disease is characterized by insidious onset,low incidence and atypical symptoms,which is prone to misdiagnosis and missed diagnosis in clinical practice.Imaging and laboratory tests can provide more diagnostic evidence before diagnosis,but pathological examination is the main basis for diagnosis.In addition,since the symptoms are not obvious and it is difficult to obtain pathological tissues in the early stage,most patients reach the advanced stage of the disease when they are first diagnosed.The diagnosis and treatment thinking of doctors is relatively fixed when they treat patients.This paper aims to improve the understanding and treatment ideas of the clinical characteristics,laboratory and imaging examination of the disease by reporting this case,which is of great significance to the diagnosis and treatment of the disease.
