隔离的肺外结核在ENT:一个常见的错过诊断
Bela J Prajapati1, Himanshu Bansal2, Meweu Ritse1
1Department of ENT, BJ Medical College and Civil Hospital, Ahmedabad, India.
概括
头部和部区域的肺外结核病 (TB) 经常模仿其他疾病,导致成年人诊断延迟. 早期识别和高度怀疑对于有效管理这种结核病表现至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
背景情况:
- 结核病 (TB) 占印度全科医院病例的很大一部分,特别是在HIV阴性成年人中.
- 头部和部区域是结核病的显着地点,因为它具有多种表现,并有可能被误诊为恶性瘤.
- 该地区的肺外结核病 (EPTB) 需要专注的临床治疗,因为其表现不同.
研究的目的:
- 突出在头部和部地区孤立的肺外结核病的不同临床表现.
- 强调早期诊断的重要性以及在头部病例中对EPTB的高临床怀疑.
- 讨论 EPTB 在头部和部的诊断方式和管理考虑.
主要方法:
- 在一年内 (2022年7月 - 2023年6月) 对60名被诊断为结核病的患者进行前性分析.
- 包括那些带有完整的临床数据来到阿萨尔瓦民营医院耳鼻喉门诊部的患者.
- 简单的随机抽样被用于患者的选择.
主要成果:
- 最常见的受影响年龄组是生命的第三和第四十年,男性占主导地位.
- 宫淋巴腺炎是EPTB在头部和部最常见的表现,其次是结核性中耳炎和喉结核病.
- 精细针吸收细胞学 (FNAC) 被确定为一种高效的诊断工具.
结论:
- 头部和部的EPTB呈现出特征性的临床特征,包括宫淋巴腺炎,中耳炎和喉结核病.
- 高度的怀疑指数和及时的诊断对于预防疾病进展和并发症至关重要.
- 在头部和部地区,FNAC是EPTB的有价值的诊断方法.
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