在患有后COVID-19和脑麻的儿童中检测结核病的困难
Andjelka Stojkovic1,2, Irena Ilic3, Andrijana Kostic1
1University Clinical Center Clinic of Pediatrics Kragujevac Serbia, 34000 Kragujevac, Serbia.
Diagnostics (Basel, Switzerland)
|September 9, 2023
概括
与COVID-19和低位肺炎的同时感染会延长疾病的时间,导致免疫力衰竭和潜在的结核病重新激活. 在这些患者中诊断肺结核是具有挑战性的,需要改进的诊断测试.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 免疫学 免疫学 免疫学
背景情况:
- 同时的COVID-19和低位肺炎导致长期的疾病,其特点是持续的炎症和免疫疲劳.
- 免疫系统疲可能导致病毒重新激活和二次感染,包括肺结核病.
- 肺结核在COVID-19后的患者和患有性四肢脑的人群中呈现异常,使诊断复杂化.
研究的目的:
- 突出肺结核的诊断挑战在COVID-19后并发症的背景下.
- 强调需要改进的诊断方法来检测肺结核细菌在免疫受损的患者.
主要方法:
- 长期的COVID-19病例与并发的低位肺炎的临床观察.
- 在特定患者群体中分析肺结核的非典型表现.
- 对诊断困难的审查,包括实验室,放射学和微生物学评估.
主要成果:
- 肺结核的诊断和治疗因非典型的表现和并发症而延迟.
- 标准的诊断方法 (实验室,放射学,微生物学) 不足以及时确认.
- 肺结核的治疗是迟迟开始的,通常是基于治疗反应 ("ex juvantibus").
结论:
- 复杂的COVID-19,低位肺炎和免疫抑制的相互作用为诊断二级肺结核病创造了一个具有挑战性的环境.
- 目前的诊断工具不足以在这些患者中早期和准确地检测出结核病菌根.
- 迫切需要开发新的,精确和可靠的结核病诊断测试.
更多相关视频
相关概念视频
Pulmonary Tuberculosis IV
161
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
161
Pulmonary Tuberculosis V
200
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
200
Pulmonary Tuberculosis I
262
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
262
Pulmonary Tuberculosis II
261
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
261
Pulmonary Tuberculosis III
361
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
361
Pneumonia III: Complications and Assessment
258
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
258


