相关实验视频
Updated: Jun 30, 2025

Diagnosing Pulmonary Tuberculosis with the Xpert MTB/RIF Test
Published on: April 9, 2012
在青少年男性中诊断隔离结核病 (TB) 的挑战:一个病例报告
Citra Cesilia1, Harry Galuh Nugraha2, Safendra Siregar3
1Division of Respirology, Department of Child Health, Faculty of Medicine, Universitas Padjadjaran/ Hasan Sadikin General Hospital, Pasteur Street No. 38, Sukajadi, Bandung, West Java, 40161, Indonesia.
在青少年中诊断肺结核 (TB) 是具有挑战性的,因为模糊的症状和细菌学确认的困难. 早期的临床怀疑和成像是及时治疗和儿童性尿性结核病病例的良好结果的关键.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 生殖泌尿结核病 (GUTB) 是儿童常见的肺外结核病 (EPTB) 形式.
- 流行性结核病是一种GUTB,通常表现为非特异性的慢性症状,使诊断复杂化.
- 由于EPTB的包性质使得最终的细菌学确认变得困难.
研究的目的:
- 报告青少年男性单独流行性结核病的诊断挑战.
- 突出临床和放射学发现在诊断具有挑战性的结核病例中的重要性.
主要方法:
- 一名16岁的男性出现了慢性阴囊胀和咳.
- 诊断工作包括体检,实验室测试,生殖器超声波 (美国),磁共振成像 (MRI),纯化蛋白衍生物 (PPD) 测试和胸部X射线 (CXR).
- 根据临床和放射学证据,患者接受了为期6个月的四重抗结核疗法 (ATT).
主要成果:
- 图像检测显示左侧上皮膜炎,水和 inguinal 淋巴腺病变;CXR显示周围淋巴腺病变.
- 尽管PPD和细菌学测试呈阴性,但确诊为隔离的流行性结核病.
- 治疗后,阴囊胀消失了,咳消失了,体重增加了; 观察到有类精子症.
结论:
- 结核病流行性结核炎的活检和细菌学确认在临床上具有挑战性.
- 在患有慢性阴囊胀和疼痛的青少年男性中,必须考虑流行性结核病.
- 综合病史,体检和成像的临床判断对于准确和快速诊断有利的结果至关重要.
更多相关视频
09:54Synthesis, Characterization, and Application of Superparamagnetic Iron Oxide Nanoprobes for Extrapulmonary Tuberculosis Detection
Published on: February 16, 2020
10:04Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
相关概念视频
Pulmonary Tuberculosis IV
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...
Pulmonary Tuberculosis V
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...
Pulmonary Tuberculosis I
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...
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis II
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...
Sexually Transmitted Infections