What does the symptom of tuberculosis of long bone backbone have?

summary

Tuberculosis of the long bone shaft is rare, and its incidence order is femur, tibia, radial ulnar shaft, humeral shaft and fibular shaft. Children under the age of 10 are the most frequent, and often multiple. Those over 30 years old are rare. What does the symptom of tuberculosis of long bone backbone have?

What does the symptom of tuberculosis of long bone backbone have?

The pathological changes of tuberculosis of long bone shaft are mainly periosteal hyperplasia and new bone formation, osteolytic destruction is relatively rare, and dead bone formation is more rare. Because the muscle around the backbone is rich, the pus is absorbed once it appears, so it is rare to form sinus. Osteolytic destruction often occurs in the medullary cavity, occasionally in the new bone, can be single or multiple. Due to the distance between diaphyseal tuberculosis and epiphyseal plate and joint end, it has no obvious effect on bone growth and joint function.

In children, the lesions are multiwave and several long bones, often complicated with pulmonary tuberculosis or other bone tuberculosis. The patient has obvious systemic symptoms. The systemic and local symptoms of single case were not obvious. Early, local pain and swelling are not obvious, but there is local tenderness. Careful palpation can reveal the thickening of the diaphysis. Pus flow into the soft tissue, forming a cold abscess, but rarely sinus formation.

Often complicated with pulmonary tuberculosis or other bone tuberculosis, such as spinal tuberculosis, often slow onset, slow progress, early asymptomatic, often ignored. Some were misdiagnosed as chronic strain, rheumatism and so on, and long-term symptomatic treatment. Very few patients have a sudden onset, which is easily confused with acute suppurative inflammation. Spinal tuberculosis in multiple groups accounts for about 50% - 75% of all patients with bone and joint tuberculosis. Previously, the basic trend of spinal tuberculosis was that the older the age, the less the incidence. Now, with the improvement of people's physical fitness and BCG vaccination, it is found that the incidence of spinal tuberculosis also changes, mainly in some marginal areas, elderly people with poor nutrition and immune function, So we should pay attention to it.

matters needing attention

To eliminate the source of infection, to establish tuberculosis monitoring network, to discover patients in time, to treat actively and thoroughly, can control the source of infection quickly. Although it takes several months for effective chemotherapy to make sputum negative, the infectivity of patients can be reduced to almost disappear within 2 weeks.