肺结核呈现集群标志和星系标志的肺结核
Tomoaki Nakamura1, Naoki Nishimura2
1Department of Pulmonary Medicine, Thoracic Center, St Luke's International Hospital, Chuo-ku, Tokyo, Japan tonaka@luke.ac.jp.
BMJ case reports
|November 17, 2023
概括
在CT扫描上的星团标志和星系标志,通常在肉类突发症中见到,也可以表明结核病 (TB). 早期诊断至关重要,因为结核病可能异常呈现,即使初始测试呈阴性.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 胸部CT成像显示了一个年轻的成年男性的集群符号 (CS) 和星系符号 (GS).
- 这些症状往往与沙尔科毒症有关,但也可能是其他疾病的迹象.
- 最初的诊断测试,包括唾液分析和干扰素-玛测定,没有证实结核病 (TB).
研究的目的:
- 为了研究肺部异常的差异诊断,呈现集群标志和星系标志.
- 突出结核病模仿其他颗粒状肺部疾病的潜力.
- 强调在模两可的病例中继续对患者进行随访的重要性.
主要方法:
- 一个20多岁的健康男性的病例报告.
- 诊断成像:胸部CT扫描. 胸部CT扫描.
- 实验室测试:唾液分析,干扰素-玛测试.
- 侵入性手术:肺部活检. 侵入性手术:肺部活检.
- 临床监测:评估症状和疾病进展.
主要成果:
- 肺部活检显示非病原性颗粒瘤,最初暗示是肉类瘤.
- 发生了发烧和不适的临床恶化,CT显示CS和GS的进展.
- 随后的唾液分析证实了Mycobacterium结核病 (M.结核病) 感染.
- 抗结核治疗导致症状的消失.
结论:
- 集群标志和星系标志可能存在于肺结核病中,特别是在增长较慢的菌株中.
- 应考虑肺结核,即使在活检和初始阴性唾液培养上存在非结核性颗粒瘤.
- 对于患有非典型肺病表现的患者,进行仔细的长期随访至关重要.
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