TY - JOUR A2 - Di Cesare, Paul E. AU - Taha, Ali AU - Rogers, Jessica AU - Bishop, Timothy AU - Lui, Darren F. AU - Ghosh, Madhusree AU - Gillespie, Paul PY - 2020 DA - 2020/04/10 TI -盆底解离:外科固定培养阴性肺外结核SP - 9769076 VL - 2020 AB -一名来自巴基斯坦的33岁孕妇，因持续性顽固性腰痛和神经性左腰5腿疼痛，并伴有左脚下降，到急诊科就诊。有一年显著的减肥史。研究发现右侧后椎旁肌有大量的骨缺损，从骶骨右半部分延伸至骨盆。提示脓肿并接受了美国引导下的穿刺。结核菌培养、PCR检查和骨活检均为阴性。胎盘标本显示仅在绒毛膜绒毛上有两个小颗粒。多学科的方法开始经验结核病治疗和尝试正常阴道分娩。如果不能进行，就需要紧急剖腹产来分娩婴儿。对不稳定骨折类型进行两期脊柱-骨盆稳定治疗，随后进行药物治疗和理疗康复治疗。 At 12-month follow-up, the patient showed resolving TB and eradication of the paraspinal abscess. There was bony union and stability of the spinal-pelvic reconstruction. Back pain and sciatica can be common in pregnancy. However, this case highlights a rare occurrence of culture-negative extrapulmonary TB leading to an unstable spinal-pelvic fracture requiring a multidisciplinary approach for careful obstetric and orthopaedic treatment with empirical treatment by the infectious disease team and microbiology. SN - 2090-6749 UR - https://doi.org/10.1155/2020/9769076 DO - 10.1155/2020/9769076 JF - Case Reports in Orthopedics PB - Hindawi KW - ER -