中原淋巴结结核结核病患者的临床过程和矛盾反应的危险因素
Junsu Choe1, Areum Han2, Sun Hye Shin1
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Korean medical science
|December 5, 2023
概括
悖论性反应 (PR) 影响了17%的中枢淋巴结结核病 (LNTB) 患者. 年龄较小,淋巴细胞数量低,淋巴结较大是治疗期间发展PR的关键风险因素.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 矛盾反应 (PR) 在淋巴结结核病 (LNTB) 中比肺结核病更常见.
- PR使药物耐药性,新感染,不良服药性和药物不良反应的诊断变得复杂.
- 内声学已经改善了中的LNTB诊断,但关于PR的数据仍然有限.
研究的目的:
- 为了研究中性LNTB的临床过程.
- 为了识别与PR相关的风险因素,在中端LNTB患者中.
主要方法:
- 通过内声学诊断出中端LNTB的患者的回顾性评估 (2009年10月 - 2019年12月).
- 多变量物流回归分析以确定PR的风险因素.
主要成果:
- 在9,052名接受内声学检查的患者中,有158名患者被诊断出中的LNTB.
- 在完成治疗的患者中,17% (21/125) 患有PR.
- PR与年龄<55岁,淋巴细胞数<800/μL,最大淋巴结短轴直径≥16mm独立相关.
结论:
- PR发生在大约六分之一的中端LNTB患者中.
- 在诊断时,医生应该考虑年轻的年龄,淋巴细胞减少和较大的淋巴结作为PR的危险因素.
关键词:
内分泌声学 (endosonography) 是一种内分泌声学 (endosonography) 是一种内分泌声学 (endosonography)淋巴结结核病结核病 淋巴结结核病这里是Mediastinum的中间体.矛盾的反应反应.更多相关视频
相关概念视频
Pulmonary Tuberculosis II
242
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...
242
Pulmonary Tuberculosis III
336
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:
336
Pulmonary Tuberculosis IV
143
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...
143
Pulmonary Tuberculosis I
244
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...
244
Pulmonary Tuberculosis V
181
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...
181
Other Pulmonary Disorders
844
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
844


