感染COVID-19后的甲状腺结核和冷:一个病例报告
Xinru Xiao1, Qi Cao1, Yujia Shi1
1Department of Respiratory and Critical Care Medicine, The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, 213003, China.
Heliyon
|April 1, 2024
概括
新冠病毒病2019 (COVID-19) 可能导致免疫失调,增加结核病 (TB) 风险. 一个罕见的病例凸显了诊断甲状腺结核病的挑战,特别是在COVID-19感染后.
科学领域:
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
背景情况:
- 越来越多的证据表明,COVID-19可能导致免疫失调.
- 免疫调节失调可能会增加对结核病 (TB) 等二次感染的敏感性.
- 甲状腺结核病是一种非常罕见的表现,通常与传播性结核病有关,并且由于非特异性症状难以诊断.
研究的目的:
- 报告一种罕见的甲状腺结核病例,呈现为患有COVID-19病史的患者的冷.
- 突出与甲状腺结核相关的诊断挑战,特别是在后COVID-19时代.
- 强调结核病在流行地区对具有相关并发症的患者的考虑的重要性.
主要方法:
- 案例报告的呈现方式.
- 基于患者病史,症状和成像的临床诊断.
- 关于甲状腺结核病和COVID-19后免疫并发症的相关文献的审查.
主要成果:
- 一名中国患者在COVID-19感染后出现了复发性发烧.
- 患者被诊断出患有甲状腺结核,表现为冷.
- 这一案例凸显了甲状腺结核病的罕见性和诊断难度.
结论:
- 临床医生必须在高风险患者中保持对甲状腺结核病的高度怀疑指数,特别是来自流行地区或患有免疫性损害或营养不良等并发症的患者.
- COVID-19引起的免疫失调和对结核病等机会性感染的易感性之间的相互作用需要进一步调查.
- 早期和准确的甲状腺结核病诊断对于有效的治疗至关重要,尽管它的表现不常见.
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