A Case of Musculoskeletal Tuberculosis Mimicking Adult-Onset Still's Disease / 대한내과학회지
Korean Journal of Medicine
;
: 785-790, 2014.
Artículo
en Coreano
| WPRIM
| ID: wpr-85482
ABSTRACT
A 46-year-old man was admitted to our hospital because of a fever of unknown origin. The patient had a skin rash, arthralgia, and hepatosplenomegaly. Laboratory tests showed leukemoid leukocytosis, a high serum ferritin level (31,200 ng/mL), and abnormal liver function tests. He was initially diagnosed with adult-onset Still's disease (AOSD). However, imaging studies incidentally detected a cold abscess involving the 11th thoracic vertebra. A biopsy of the abscess revealed histologically granulomatous caseous necrosis, positive for M. tuberculosis by polymerase chain reaction. We present a patient with musculoskeletal tuberculosis (TB) that clinically mimicked AOSD. In TB-endemic countries, extrapulmonary TB should be included in the differential diagnosis of AOSD.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Columna Vertebral
/
Tuberculosis
/
Biopsia
/
Reacción en Cadena de la Polimerasa
/
Enfermedad de Still del Adulto
/
Artralgia
/
Diagnóstico Diferencial
/
Absceso
/
Exantema
/
Ferritinas
Tipo de estudio:
Estudio diagnóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Año:
2014
Tipo del documento:
Artículo
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