Tuberculous Osteomyelitis in the Ulna of a Patient Undergoing Hemodialysis
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概要
- 論文の詳細を見る
A 76-year-old woman on hemodialysis (HD) presented with pain and swelling in the left wrist and forearm. The osteomyelitis occurred in the part of the ulna adjacent to the arteriovenous fistula. Mycobacterium tuberculosis was identified in pus obtained from the left forearm, leading to a diagnosis of tuberculous osteomyelitis. The patient was treated with anti-tuberculous drugs and her symptoms improved. In this study, we report a case of tuberculous osteomyelitis occurring in the ulna, which is not the usual site of predilection for tuberculosis infection. As HD patients exhibit a high frequency of extrapulmonary tuberculosis, tuberculous osteomyelitis should be considered in the differential diagnosis of infectious osteomyelitis. In addition, it may be useful to perform stab cultures at an early stage in order to diagnose tuberculous osteomyelitis.
- 社団法人 日本内科学会の論文
著者
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Yamamoto Yoshihiro
The Second Department Of Internal Medicine Kansai Medical University
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Hayashi Hideyuki
Department Of Biochemistry Osaka Medical College
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Nishino Tomoya
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Obata Yoko
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Uramatsu Tadashi
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Arai Hideyuki
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Inoue Yuichi
Isahaya Health Insurance General Hospital, Japan
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Nakazawa Yuka
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Mori Atsushi
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Tsukasaki Shoko
Tanaka Clinic, Japan
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Muraya Yoshiaki
Isahaya Health Insurance General Hospital, Japan
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Kohno Shigeru
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Arai Hideyuki
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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