Multifocal Skeletal Tuberculosis Mimicking Metastasis Involving the Sternum, Lumbar Vertebra, and Sacrum

전이암으로 오인된 복장뼈, 허리뼈, 엉치뼈에 생긴 다발골결핵: 증례 보고

  • Kim, Jun-Ho (Department of Radiology, Inha University School of Medicine) ;
  • Cho, Soon-Gu (Department of Radiology, Inha University School of Medicine) ;
  • Kim, Kwang-Ho (Department of Thoracic & Cardiovascular Surgery, Inha University School of Medicine) ;
  • Kim, Yeo-Ju (Department of Radiology, Inha University School of Medicine) ;
  • Hyun, In-Young (Department of Nuclear Medicine, Inha University School of Medicine) ;
  • Lee, Kyung-Hee (Department of Radiology, Inha University School of Medicine)
  • 김준호 (인하대학병원 영상의학과) ;
  • 조순구 (인하대학병원 영상의학과) ;
  • 김광호 (인하대학병원 흉부외과) ;
  • 김여주 (인하대학병원 영상의학과) ;
  • 현인영 (인하대학병원 핵의학과) ;
  • 이경희 (인하대학병원 영상의학과)
  • Received : 2009.12.23
  • Accepted : 2010.03.21
  • Published : 2010.07.01

Abstract

The incidence of multifocal skeletal tuberculosis is very rare and its diagnosis, very difficult because of vague somatic symptoms and non-specific physical and radiologic findings. We report a case of multifocal skeletal tuberculosis mimicking metastasis.

다발골결핵은 매우 드문 병변이다. 다발골결핵은 증상이 모호하고 이학적, 영상의학적 소견이 비특이적이기 때문에 진단이 어렵다. 저자들은 전이암으로 오인되었던 다발골결핵 1예를 보고하고자 한다.

Keywords

References

  1. De Backer AI, Vanhoenacker FM, Sanghvi DA. Imaging features of extraaxial musculoskeletal tuberculosis. Indian J Radiol Imaging 2009;19:176-186 https://doi.org/10.4103/0971-3026.54873
  2. Marudanayagam A, Gnanadoss JJ. Multifocal skeletal tuberculosis: a report of three cases. Iowa Orthop J 2006;26:151-153
  3. Hong L, Wu JG, Ding JG, Wang XY, Zheng MH, Fu RQ, et al. Multifocal skeletal tuberculosis: experience in diagnosis and treatment. Med Mal Infect 2010;40:6-11 https://doi.org/10.1016/j.medmal.2009.03.004
  4. De Backer AI, Mortele KJ, Vanhoenacker FM, Parizel PM. Imaging of extraspinal musculoskeletal tuberculosis. Eur J Radiol 2006;57: 119-130 https://doi.org/10.1016/j.ejrad.2005.07.005
  5. Yilmaz MH, Kantarci F, Mihmanli I, Kanberoglu K. Multifocal skeletal tuberculosis. South Med J 2004;97:785-787 https://doi.org/10.1097/00007611-200408000-00023
  6. Gelal F, Sabah D, Dogan R, Avci A. Multifocal Skeletal Tuberculosis involving the lumbar spine and a sacroiliac joint: MR imging findings. Diagn Interv Radio 2006;12:139-141
  7. Shah J, Patkar D, Parikh B, Parmar H, Varma R, Patankar T, et al. Tuberculosis of the sternum and clavicle: imaging findings in 15 patients. Skeletal Radiol 2000;29:447-453 https://doi.org/10.1007/s002560000207
  8. Resnick D, Kransdorf MJ. Bone and joint imaging. 3rd ed. Philadelphia: Saunders, 2005:603-1419
  9. Morris BS, Varma R, Garg A, Awasthi M, Maheshwari M. Multifocal musculoskeletal tuberculosis in children: appearances on computed tomography. Skeletal Radiol 2002;31:1-8 https://doi.org/10.1007/s00256-001-0439-y
  10. Mulloy EM. Tuberculosis of the sternum presenting as metastatic disease. Thorax 1995;50:1223-1224 https://doi.org/10.1136/thx.50.11.1223