在艾滋病毒阳性病例中的内管结核病
Savaş Gegin1, Burcu Özdemir1, Özgür Günal2
1Department of Pulmonology, Samsun Training and Research Hospital, Samsun, Türkiye.
Current HIV research
|January 27, 2024
概括
肺内肺结核是艾滋病毒阳性患者出现呼吸系统症状的关键诊断. 早期的支气管镜评估对于准确的诊断至关重要,即使有负面的抗酸酒精杆菌 (ARB) 测试.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 结核病 (TB) 是人类免疫缺陷病毒 (HIV) 阳性个体的主要机会性感染,常常因免疫抑制而恶化.
- 胸内膜病变呈现出多种不同的临床表现,胸内膜结核病 (EBTB) 是一个重要的亚型.
- EBTB可以模仿其他疾病,因此需要高的怀疑指数才能及时诊断.
研究的目的:
- 突出支气管镜检查在发现内支气管结核病 (EBTB) 中的诊断挑战和重要性.
- 强调需要考虑EBTB在人类免疫缺陷病毒 (HIV) 阳性患者的持续呼吸系统症状.
主要方法:
- 一个26岁的人类免疫缺陷病毒 (HIV) 阳性患者的病例报告,呈现出发烧,咳和呼吸障碍.
- 诊断程序包括胸部X射线,计算机断层扫描 (CT) 扫描揭示中淋巴腺病变和内支气管病变,以及支气管镜检查.
- 活检和聚合酶链反应 (PCR) 证实了内结核病 (EBTB) 的诊断.
主要成果:
- 胸部X射线显示肺流和双侧肺不透明.
- 脑电图扫描发现了中枢淋巴腺病变和左侧主要支气管中显著的支气管内膜病变.
- 支气管镜检查显示了导致阻塞的植物性病变,通过病理学和PCR证实了EBTB的诊断.
结论:
- 人体免疫缺陷病毒 (HIV) 阳性患者的内结核病 (EBTB) 应强烈考虑,即使有负面的抗酸酒精细菌 (ARB) 涂抹,呼吸道症状也不会解决.
- 支气管镜检查是可视化和从内支气管病变中获取样本的关键诊断工具.
- 及时诊断和适当的EBTB管理对于患者的结果至关重要.
关键词:
艾滋病病毒 艾滋病病毒 艾滋病病毒支气管癌瘤是支气管癌.脑内支气管内支气管的阿斯伯吉洛斯病.肺内肺结核是一种肺内肺结核.卡波西肉瘤 (Kaposi Sarcoma) 是一种癌症.淋巴瘤淋巴瘤是什么更多相关视频
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