Pubic tuberculosis

Introduction to pubic tuberculosis The pubic bone is located in the front lower part of the hip bone and is divided into two parts: the body and the upper and lower parts. The pubic symphysis forms the anterior and posterior part of the acetabulum, which is thicker and extends from the anterior and posterior aspect of the pubis. This branch bends downward to the lower pubis. Pubic tuberculosis is rare, and in one study, only 18 of the 4,140 cases (0.43%). The part of the pubis that is close to the pubic symphysis is called the pubic body. The pubis is divided into the upper branch and the lower branch. The distal part of the upper branch forms part of the acetabulum. The distal part of the lower branch is connected with the ischial branch. The pubic bones on both sides are called the pubic symphysis. The front of the pubic body. That is, the perineal surface, the pelvic surface behind it. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific people Mode of infection: respiratory transmission Complications: swelling

Cause of pubic tuberculosis

Cause:

Pubic tuberculosis is a type of tuberculosis of the whole body and may be associated with pubic symphysis during childbirth, and tuberculosis infection is a direct cause of the disease.

Pubic tuberculosis prevention

This disease is a kind of tuberculosis of the whole body. It is caused by tuberculosis, so it is a good propaganda work for infectious diseases. The occurrence and development of disease from the source of infection and transmission are the key to prevent this disease. Pay attention to exercise and increase your body's resistance.

Visceral tuberculosis complications Complications swelling

If the lesion is in the posterior part of the pubis (pelvic surface), the lesion can form an abscess between the bladder and the pubic bone. The cold abscess often breaks down to form the sinus. Patients with severe bone destruction can often cause the patient to walk, local Common swelling, tenderness is obvious, there are many abscesses or sinus formation in the treatment, and the affected hip joints are limited except for the expansion, no dysfunction.

Symptoms of pubic tuberculosis Common symptoms Loss of bone damage, night sweats, low fever, pubic pain, pubic pain in pregnant women

The disease is common in women of childbearing age. It does not include tuberculosis in other parts. There are no systemic symptoms. Generally, the disease is slow, local pain is mild, bone damage is often severe, and local swelling is common. The tenderness is obvious. There are many abscesses at the time of medical treatment. Or sinus formation, except for the limited expansion of the affected hip joint, no dysfunction.

Examination of pubic tuberculosis

Laboratory inspection

1. Blood routine: patients often have mild anemia (less than 10%), multiple lesions or long-term combined with secondary infection, may have more severe anemia. In 10% of cases, the white blood cell count can be increased, and the white blood cell count of the mixed infected person is significantly increased.

2. ESR: Generally, the erythrocyte sedimentation rate is accelerated during the active period of the disease, but it can also be normal. The erythrocyte sedimentation rate will gradually become normal after the lesion is still or cured. This is meaningful for follow-up, but this test is non-specific, and other inflammations or malignant tumors are also Can make the blood sedimentation speed up.

3. Tuberculin test: Children under the age of 15 who have not been vaccinated with BCG, the tuberculin test from negative to positive, indicating that recently infected with tuberculosis, infection by atypical acid-fast bacilli can also be positive, but the response is lighter. False negative can be seen in the initial stage, or in severe cases without allergies. And from positive to negative. It has been reported that 14% of cases of bone and joint tuberculosis are negative in this test, so active tuberculosis including bone and joint tuberculosis cannot be completely excluded when the test is negative.

4. Tuberculosis culture: It takes about 3 to 8 weeks to culture with modified Roche culture medium, and the positive rate is about 50%. Bactec grew rapidly for an average of 9 days. The results of polymerase chain reaction (PCR) detection over 48 hours, this method needs further improvement.

5. Pathological examination: When taking pathological tissue specimens, it was reported that granulation tissue was taken on the synovial membrane, and the living tissue was taken on the x-ray film at the cystic lesion, and the positive rate was high. Tuberculosis culture and histopathological examinations are performed at the same time, and complement each other can improve the diagnosis rate by 70% to 90%.

Film degree exam

X-ray conventional radiography is still one of the preferred imaging diagnostic methods, but a few cases require CT, CTM, MRI or ECT examination to improve the diagnostic level.

Diagnosis of pubic tuberculosis

diagnosis

Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.

Differential diagnosis

The disease needs to be identified with the following two diseases:

1, suppurative pubic inflammation: the disease has high fever, white blood cell count increased and obvious local symptoms, confirmed by bacteriology.

2, non-suppurative pubic bronchitis: the disease is seen in women after pregnancy and childbirth, men seen after prostate surgery, local pain, X-ray film pubic symphysis narrowing or widening, bilateral pubic symmetry mildly damaged, and There is a change in compactness, and the bone destruction of the pubic tuberculosis is mostly on one side, often with dead bone formation.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.