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Multimodal imaging of Spina Ventosa (TB?Dactylitis) of the foot

机译:脚下脊柱腹膜(Tbδ)的多峰成像

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We present the case of a 29-year-old male healthcare worker with a 6 month history of progressive left foot pain resulting in presentation to the emergency department on 3 occasions. He denied systemic symptoms. Multimodal imaging demonstrated an expansile erosive inflammatory lesion centered on the neck of the second metatarsal with aggressive features. CT of the thorax, abdomen, and pelvis demonstrated calcified mediastinal lymph nodes and left inguinal adenopathy. The lesion was biopsied under ultrasound guidance demonstrating a necrotizing granulomatous osteomyelitis with acid fact bacilli. This is consistent with TB dactylitis (spina ventosa). Treatment with antimycobacterial drugs was commenced.
机译:我们展示了一个29岁的男性医疗保健工人,其中6个月的渐进左脚疼痛史导致3场急诊部门介绍。他否认了系统性症状。多式联运成像证明了膨胀糜烂性炎性病变,其具有侵略性特征的第二个跖骨颈部。 CT的胸部,腹部和骨盆展示了钙化纵隔淋巴结并留下了腹股沟腺肿。在超声波引导下,病变是在超声引导下证明了酸事实杆菌的坏死性肉芽肿性骨髓炎。这与Tb Dayylitis(脊柱腹膜)一致。开始用抗细菌药物治疗。

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