在吃饭后接近患有胸后疼痛的患者:一个病例报告
Yanjun Feng1, Yayan Niu1, Jinyu Yan1
1Department of Tuberculosis, The Fifth People's Hospital of Suzhou The Affiliated Infectious Diseases Hospital of Soochow University Suzhou China.
中原淋巴结结核病可以微妙地呈现. 早期诊断使用先进的技术,如内支气管超声波引导的跨支气管针吸收 (EBUS-TBNA),对于有效的治疗至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 中原淋巴结结核病 (MLNT) 经常表现为非特异性症状,使诊断复杂化.
- 延迟诊断可能会导致患者长时间的痛苦和潜在的疾病进展.
研究的目的:
- 报告一个通过先进的内镜和分子方法诊断的中间淋巴结结结核病例.
- 为了说明患有持续的背后疼痛和未诊断的中质量患者的诊断途径.
主要方法:
- 胸部增强CT和超声波支气管镜被用于成像和定位.
- 进行了内支气管超声波引导的跨支气管针吸收 (EBUS-TBNA) 进行组织采样.
- 在活检和液体样本上使用Xpert MTB/RIF测定,以快速检测结核病.
主要成果:
- 最初的胃镜检查和细针刺穿没有结论.
- 胸部增强CT检测发现了一个压缩食道的中质.
- 在活检中,EBUS-TBNA显示了Xpert MTB/RIF的低阳性结果,以及穿孔液的阳性结果,证实了结核病.
- 患者对2HREZ/10HRE抗结核疗法反应良好,症状改善和淋巴结缩.
结论:
- 中胸淋巴结结核病可能很难诊断,需要成像和分子检测的结合.
- 带有Xpert MTB/RIF测定的EBUS-TBNA在诊断中枢结核病方面是有效的.
- 及时的抗结核治疗导致临床改善和放射学解决.
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