慢性结核性中炎:一个罕见的病例呈现与皮下肺
Sumer S Choudhary1, Chetan R Khedkar2, Gaurang M Aurangabadkar3
1Respiratory Medicine, Datta Meghe Medical College and Shalinitai Meghe Hospital and Research Centre, Nagpur, IND.
Cureus
|June 12, 2023
概括
本案例研究突出了一个非常罕见的结核病引起的慢性中炎病例,该病例呈现出气管和皮下肺. 迅速的抗结核治疗导致了成功的囊关闭和症状的解决.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 慢性中炎通常是由真菌感染,恶性瘤或沙尔科毒症引起的.
- 结核病 (TB) 是慢性中炎的罕见原因,其与气管和皮下肺的关联非常罕见.
研究的目的:
- 报告一种罕见的结核性慢性中炎病例,该病例呈现出气管和皮下肺.
- 为了说明诊断过程和成功管理这种不常见的情况.
主要方法:
- 一名35岁的男性患有慢性酒,出现了暗示慢性感染的症状.
- 调查包括常规血液检查 (ESR升高),胸部高分辨率计算机断层扫描 (HRCT),视频支气管镜检查,3D虚拟支气管镜检查和活检.
- 诊断证实涉及酸快细菌 (AFB) 染色,结核病的PCR,以及阳性结核素皮肤测试.
主要成果:
- HRCT揭示了多发性结节性病变,中央腔腔结节,地面玻璃外观,以及从气管到皮下平面的两个状痕迹,表明慢性中炎与气管和皮下肺.
- 支气管镜检查证实了气管.
- 活检结果为结核阳性,患者对抗结核治疗反应良好,在后续成像上显示了囊关闭和纤维化的痕.
结论:
- 由于结核病导致的慢性中炎,并由气管和皮下肺复杂化,是一种罕见但可治疗的疾病.
- 通过先进的成像和微生物学测试进行早期诊断,然后进行适当的抗结核疗法,对于成功的结果至关重要.
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