破子综合征及其与肺结核的异常发生:一个病例报告
Shiv Charan Jelia1, Devendra Ajmera2, Divya Airan3
1Senior Professor, Department of General Medicine, Government Medical College, Kota, Rajasthan, India.
The Journal of the Association of Physicians of India
|December 15, 2024
概括
裂坚果综合征 (NCS),以左静脉 (LRV) 压缩为特征,在一名患有腰部疼痛的老年女性中被诊断出. 这种病例还显示出并发性肺结核,由Ziehl-Neelsen染色和CBNAAT证实.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 破子综合征 (NCS) 或左静脉 (LRV) 陷入综合征,涉及大动脉和上层中枢动脉 (SMA) 之间的LRV压缩.
- 这种压缩会导致远端LRV扩张,并导致血和疼痛等症状.
- 与其他疾病,如肺部感染的同时发生是可能的,但报告较少.
研究的目的:
- 报告一个罕见的同时存在的裂坚果综合症和肺结核病的罕见病例.
- 为了突出诊断挑战和发现,在一个患者呈现两种条件.
- 强调复杂的临床病例中全面调查的重要性.
主要方法:
- 一个老年女性的病例介绍,她患有慢性左腰部疼痛.
- 诊断工作包括成像,以评估LRV压缩和肺病理.
- 在初步调查期间,发现了微观的血和.
- 用Ziehl-Neelsen (ZN) 染色和基于弹的核酸放大试验 (CBNAAT) 来进行微生物学确认.
主要成果:
- 通过确定大动脉和SMA之间的LRV压缩以及降低了大动脉-SMA角度 (12°) 来确认NCS的诊断.
- 肺结核通过ZN染色和CBNAAT证实,显示囊性支气管和树结.
- 患者呈现左腰部疼痛,微观的血和轻微的.
结论:
- 破子综合征可以与肺结核病同时出现.
- 综合的诊断方法对于识别多种病理至关重要.
- 这一案例强调了考虑复杂症状患者的多样性诊断的重要性.
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