在COVID-19大流行期间错误诊断的周和肠结核病
Zhaoyang Cui1, Yi Le2, Hu Liu2
1Department of Graduate School, Hebei North University, Zhangjiakou.
Annals of medicine and surgery (2012)
|November 2, 2023
概括
本案例研究表明2019年冠状病毒病 (COVID-19) 如何掩盖尾炎和肠结核病 (TB) 的症状,使诊断复杂化. 早期发现并发感染对于有效治疗至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 新型冠状病毒疾病2019 (COVID-19) 主要影响呼吸系统,但当与其他疾病同时感染时,可能会出现非典型症状.
- 尾炎和肠结核病 (结核病) 是不同的疾病,它们的特定临床特征可能被COVID-19所掩盖.
研究的目的:
- 要突出一个同时发生尾炎,肠结核病和COVID-19的病例.
- 为了强调复杂感染中重叠,非特异性症状所带来的诊断挑战.
- 为了强调精确诊断和量身定制的治疗在管理多种共感染的重要性.
主要方法:
- 一个年轻女性的病例介绍,右下象限疼痛最初被怀疑是尾炎.
- 诊断工作包括超声波,COVID-19核酸测试,胸部计算机断层扫描和结核病T细胞测试.
- 尾炎的手术干预,随后持续监测其他感染.
主要成果:
- 患者出现了暗示尾炎的症状,并出现了外围.
- 确认了COVID-19和肠道结核病的共同诊断.
- 手术后发烧和阳性结核病T细胞测试表明存在多种感染.
结论:
- 与COVID-19,尾炎和肠道结核病的同时感染,由于非特异性临床表现,存在重大诊断挑战.
- 临床医生必须对多种感染保持高度警,特别是在COVID-19大流行期间,以避免误诊.
- 对于有效的,个性化的治疗策略来说,对所有同时存在的疾病进行快速和准确的诊断至关重要.
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