通过PET/CT的扩散性肝吸收和横性肝活检诊断的百万结核病
Ren Ueta1, Akiko Saito2, Yuka Yanai1
1Department of Gastroenterology and Hepatology, National Center for Global Health and Medicine, Tokyo, Japan.
一名患有肝功能障碍的81岁老人被诊断出患有千叶结核病. 氧葡萄糖正子发射断层扫描-计算机断层扫描 (FDG-PET-CT) 显示了肝脏的特征吸收,证实了诊断,并导致有效的抗结核治疗.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 一名81岁的男性出现呼吸不全并检测出肝功能障碍.
- 最初的评估表明呼吸道疾病的可能性很低,促使转诊.
- 升高的可溶性互白素-2受体水平引起了对恶性淋巴瘤的怀疑.
研究的目的:
- 在有结核病史的老年患者中调查肝功能障碍的原因.
- 为了区分潜在的诊断,包括淋巴瘤和传染病原因.
- 为了确认影响肝脏的千叶结核病的诊断.
主要方法:
- 使用18F-氧葡萄糖 (FDG) 定子发射断层扫描-计算机断层扫描 (PET-CT) 进行成像.
- 进行过关节性肝脏活检以进行组织病理学检查.
- 进行了紫外线染色,以识别细菌.
主要成果:
- FDG-PET-CT显示了整个肝脏的扩散,均,强烈的FDG吸收.
- 组织病理学揭示了表皮状颗粒瘤与细菌的阳性紫外线染色.
- 电脑图像扫描显示了肺部的微状阴影,与千里亚结核病一致.
结论:
- 这位患者被诊断出患有涉及肝脏的千叶结核病.
- 在PET-CT上特征性FDG吸收表明肝结核病.
- 抗结核药物导致了有利的临床结果.
更多相关视频
06:03Use of Electromagnetic Navigational Transthoracic Needle Aspiration E-TTNA for Sampling of Lung Nodules
Published on: May 23, 2015
09:54Synthesis, Characterization, and Application of Superparamagnetic Iron Oxide Nanoprobes for Extrapulmonary Tuberculosis Detection
Published on: February 16, 2020
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 III
The first classification is based on the development of the disease, and it includes the following categories:
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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...
Imaging Studies II: Positron Emission Tomography and Scintigraphy
Fundamental Principles of PET
