以髋关节、骶髂关节病变为首发症状的布鲁氏菌病一例报告
张强1
夏璐2
邓伟哲1
师国洋3
钱春生3
1.150048 哈尔滨,中国人民解放军联勤保障部队第九六二医院中医风湿科2.150028 哈尔滨,黑龙江省第二医院职业中毒科3.150048 哈尔滨,中国人民解放军联勤保障部队第九六二医院康复疼痛科
摘要：Objective This article summarizes the key points distinguishing the brucellosis and ankylosing spondylitis based on literature review,providing clinical references.Methods We retrospectively reviewed a case of brucellosis in our hospital.Hip arthritis and sacroiliac arthritis were the initial symptoms,involving spinal joints.The initial diagnosis was ankylosing spondylitis,which was later corrected to brucellosis-related arthritis and spondylitis after further examinations.The patient received treatment with third-generation cephalosporins,rifampicin,and doxycycline combination therapy.Results X-ray and MRI images of the sacroiliac and hip joints showed similarities to those seen in ankylosing spondylitis cases.After 6 weeks of combined treatment,the patient's symptoms improved significantly without disease progression or recurrence during follow-up.Conclusions Brucellosis and ankylosing spondylitis have distinct details in terms of laboratory tests,axial joint involvement,peripheral joint involvement,and radiographic changes.History of exposure along with pathogen testing is crucial for early identification and diagnosis of Brucellosis.
关键词：布鲁杆菌病脊柱炎强直性骨关节炎髋骶髂关节炎
分类号：R681.8(骨科学（运动系疾病、矫形外科学）)
资助基金：哈尔滨市科技计划自筹经费项目(ZC2023ZJ004022)黑龙江省卫生健康委科技计划(20210303080312)
论文发表日期：2024-03-19
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 237-240 )
英文信息