Spinal tuberculosis cold abscess penetrates hollow organ
Introduction
Brief introduction of spinal tuberculosis cold abscess into the hollow organ Spinal tuberculosis cold abscess is more common in the lungs. It is rare to penetrate the esophageal thoracic aorta, the psoas muscle abscess into the appendix, the gallbladder, and the colon and bladder. For this reason, many cases are misdiagnosed or missed clinically. Cold abscess is an important part of the pathology of spinal tuberculosis. When the bone lesion is in the acute phase, the abscess is rapidly enlarged when the lesion is mainly exudation. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: respiratory transmission Complications: abscess
Cause
Spinal tuberculosis cold abscess penetrates into the cause of hollow organs
Spinal tuberculosis is caused by the colonization of Mycobacterium tuberculosis in the spine. It can be secondary and primary. Cold abscess is an important part of the pathology of spinal tuberculosis. When the bone lesion is in the acute phase, the lesion is mainly exudation. The abscess rapidly increases. At this time, the internal pressure of the abscess increases, causing the abscess to break through in the weak part of the wall of the abscess. Among them, the tuberculosis lesions such as casein and granulation penetrate into the adjacent area by local infiltration and spread. Organs, forming an abscess and an organ.
Prevention
Spinal tuberculosis cold abscess penetrates into the hollow organ prevention
The disease is mainly caused by tuberculosis, so actively treat tuberculosis, control the transfer of infection is the key to prevention and treatment of this disease, in addition, it should be noted that once the diagnosis is confirmed, it should be actively treated, in addition to symptomatic treatment, it should be active Anti-tuberculosis treatment.
Complication
Spinal tuberculosis cold abscess penetrates into the hollow organ complications Complications, abscesses, intestinal fistula
Patients with this disease can concurrently have the following diseases:
1, abscess, esophagus
The esophagus is relatively fixed, there is no serosal layer, its muscular layer is weak, and it may be penetrated by cold abscess, but it is rare.
2, abscess - colon or rectal fistula
Ascending, descending colon and rectum activity is small, more fixed and adjacent to the psoas muscle abscess, so the abscess penetrates into the colon than the penetration of the active space, the ileum is more common.
If the cold abscess is in the lumbar vertebrae, some patients may also have a nerve root syndrome, mainly characterized by weakness of the lower limbs.
Symptom
Spinal tuberculosis cold abscess penetrates into the hollow organ symptoms Common symptoms Lumbar muscle abscess night sweats low heat low back pain fatigue weight loss
Symptoms: The main cause of this disease is low back pain. Some patients have symptoms such as fatigue, weight loss, low fever and night sweats.
Signs: local deformity, tenderness, limited mobility.
Examine
Examination of spinal tuberculosis cold abscess into the hollow organ
Early vertebral central tuberculosis, ultrasound is still difficult to show and not X-ray examination; marginal tuberculosis, with paravertebral and flow abscess formation, can be diagnosed with B-mode ultrasound, ultrasound can clearly show the anterior and posterior and paravertebral Abscess, with dynamic scanning, multi-directional and multi-faceted and reproducible features, the detection of abscess is better than X-ray, and can determine its size and relationship with adjacent organs of the abdomen, roughly infer its nature, the characteristics of the fistula out of the pus Or have a fecal odor, according to endoscopy, X-ray angiography and barium enema examination can make a diagnosis.
Diagnosis
Diagnosis and differentiation of spinal tuberculosis cold abscess into the hollow organ
diagnosis
Spinal tuberculosis combined with paraspinal abscess is diagnosed according to the history, symptoms, signs and imaging findings. The abscess penetrates the vertebral periosteum and spreads along the muscle fascia space. It can be injected downward into the retroperitoneal space, for deep abdominal cavity. Isolated abscess, in order to accurately diagnose before surgery, often under the guidance of B-ultrasound guided puncture or pus tuberculosis culture, sputum outflow pus traits or fecal odor, according to endoscopy, X-ray angiography and Barium enema examination can make a diagnosis.
Differential diagnosis
For patients with inconspicuous spinal tuberculosis, the abscess rupture into the organ mainly needs to be differentiated from other types of hollow organ abscesses. Detailed medical history, X-ray examination and tuberculin examination can generally be identified.
