特異な経過で発症した恥骨結核の治療経験

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A case of tuberculosis of the pubis, which is uncommon and probably caused by trauma, is reported. The patient was a fifty years old male who noticed pain over the Pubis after striking the groin region. Initially the diagnosis of fracture was made, however, the serial roentgenograms revealed the expansion of the destructive lesion. Eight months after onset, histological examination of the curetted tissue showed tuberculosis. The patient showed resistance to chemotherapy, and, because of his heart complication, we had to minimize the operative damage and could not perform sufficient curettage initially. In the result, the course was prolonged, however, the implant of Streptomycin beads with sufficient curettage was effective for suppression of the disease ultimately. After the inflammation was suppressed, strut bone graft between pubic bones was performed. The patient was asymptomatic ten months after the operation.
西日本整形・災害外科学会の論文