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POSTPARTUM DÖNEMDE BEL AĞRISI: VERTEBRAL OSTEOMYELİTLİ BİR OLGU SUNUMU

LOW BACK PAIN IN THE POSTPARTUM PERIOD: A CASE REPORT WITH VERTEBRAL OSTEOMYELITIS

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Tuberculosis remains a major health problem. Musculoskeletal tuberculosis accounts for about 10-15 % of all tuberculosis notifications in the non-industrialized countries. The spine is the most common site the for osseous involvement and tuberculosis involved multiple sites accounts for 3% of the cases. Sacral involvement and concomittant vertebral tuberculosis is a rare combination. We report a case of tuberculosis with vertebral involvement and an additional infectious foci near the sacroiliac joint. Needle biopsy of the L1 was required for the microbiological confirmation of the diagnosis in our case since Quantiferon test in the serum was negative. The diagnosis of musculoskeletal tuberculosis remains a challange to clinicians and requires a high index of suspicion. Thorough and even invasive diagnostic work-up is mandatory for the accurete and early diagnosis of patients with osteoarticular tuberculosis
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Abstract (Original Language): 
Tüberküloz major bir halk sağlığı problemi olmaya devam etmektedir. EndüstrileĢmemiĢ ülkelerde, tüberkülozun kas iskelet sistemi tutulumu tüm vakaların % 10-15’ini oluĢturmaktadır. Kemik tutulumunun en sık görüldüğü bölge omurga olup, multipl bölgede tutulum vakaların %3’ünde izlenmektedir. Sakral tutulum ve vertebral tutulumun birlikteliği çok nadirdir. Bu vaka sunumunda vertebral tutulumun yanı sıra sakroiliyak eklem komĢuluğunda infeksiyöz bir odağı bulunan olgu sunulmaktadır. Serum Quantiferon testinin negatif olması nedeni ile tanının doğrulanması için L1 vertebranın iğne biyopsi materyali alınması gerekmiĢtir. Tüberkülozun kas iskelet sistemi tutulumu klinisyenler için zorluk oluĢturmakta ve hastalığın dikkatle araĢtırılması gerekmektedir. Gerekli durumlarda invaziv tanısal testler osteoartiküler tüberküloz olgularında doğru ve erken tanıda zorunludur.
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  • 4
131-132
  • English

REFERENCES

References: 

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Ġstanbul Tıp Fakültesi Dergisi Cilt / Volume: 72 • Sayı / Number: 4 • Yıl/Year: 2009
133
Postpartum dönemde bel ağrısı
Ġstanbul Tıp Fakültesi Dergisi Cilt / Volume: 72 • Sayı / Number: 4 • Yıl/Year: 2009
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