8년 후 재발한 좌골 조면의 결핵균 감염 -증례보고- = Case Report : Tuberculosis Infection of the Ischial Tuberosity and That Recurred after 8 Years -A Case Report-

국문 초록 (Abstract)

좌골의 결핵 감염은 드문 질환이며, 수술적 치료와 함께 항결핵제 사용을 병행하는 것이 추천된다. 본 증례의 환자는 우 둔부의 농양에 대하여 수술적 가료를 받았으나 항결핵제 치료를 받지 않았다. 8년 만에 동일 부위에 농양이 재발하여 수술적 변연 절제술과 함께 병리 조직학적인 결핵감염을 확진한 후 항결핵제 치료를 병행하였다. 1년 추시 관찰 결과 수술 부위의 통증이나 재발소견은 보이지 않았다.

다국어 초록 (Multilingual Abstract)

Tuberculous infection of the ischium is a rare condition. It is recommended that antituberculosis chemotherapy is combined with surgical intervention. The patient in this case had an abscess on his right gluteal region and he had undergone an operation without antituberculosis chemotherapy. After eight years, an abscess recurred in the same area and he was treated with surgical resection. Antituberculosis chemotherapy was administered following histopathological confirmation of tuberculosis. At 1 year postoperatively, the patient had no pain and there was no evidence of recurrence.

참고문헌 (Reference)

1 Moon MS, "Tuberculosis of the puboischium -Report of five cases" 22 : 1326-1332, 1987

2 Spiegel DA, "Tuberculosis of the musculoskeletal system" 20 : 167-178, 2005

3 Bhattacharyya AN, "Tuberculosis of the ischium: a report of three cases" 42 : 389-391, 1973

4 Garc´la S, "Tuberculosis of the ischium" 60 : 238-240, 1994

5 Singh O, "Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier" 15 : 261-263, 2009

6 Harris NH, "Lesions of the symphysis in athletes" 4 : 211-214, 1974

7 Alvarez S, "Extrapulmonary tuberculosis revisited: a review of experience at Boston City and other hospitals" 63 : 25-55, 1984

8 Martini M, "Bone and joint tuberculosis: a review of 652 cases" 11 : 861-866, 1988

9 Abdelwahab IF, "Atypical skeletal tuberculosis mimicking neoplasm" 64 : 551-555, 1991

10 Siegel RS, "A posterior surgical approach to the ischium" 63 : 466-469, 1981