患有控制不良的糖尿病患者的结核病导致的肺需要治疗:一种病例报告
Shehan Silva1,2, Lahiru Waduge3
1Department of Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Colombo, LKA.
Cureus
|December 19, 2024
概括
一个罕见的胸部感染,Empyema necessitans,发生在一个糖尿病患者身上. 迅速诊断和手术和抗结核药物治疗导致了成功的康复.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 乳 (Empyema necessitans) 是一种罕见的疾病,涉及软组织内积累.
- 它通常由胸内瘤引起,通常是由Mycobacterium tuberculosis引起的.
- 诊断可能是具有挑战性的,因为非特异性症状和肺外结核的 paucibacillary 性质.
研究的目的:
- 报告患有2型糖尿病控制不良的患者患有Empyema necessitans的病例.
- 突出诊断挑战和成功的管理策略,为这种罕见的条件.
主要方法:
- 一个病人的病例报告呈现出感染和多叶流液的症状.
- 诊断工作包括 evaluation of pleural fluid (排泄性,增高的腺脱氨酶水平).诊断工作包括评估腹液 (排泄性,增加的腺脱氨酶水平).
- 治疗包括手术清除,胸切除管插入和抗结核药物.
主要成果:
- 患者呈现出发烧,咳,呼吸困难和胸痛,并由左侧膜溢出复杂化.
- 溢出扩展到胸外软组织空间.
- 通过手术和抗结核疗法进行治疗,成功康复.
结论:
- 尽管很少见,但应考虑在患有不明原因的肺溢和软组织干扰的患者中考虑empyema necessitans.
- 早期诊断和适当的管理,包括手术干预和抗结核疗法,对于有利的结果至关重要.
- 这一案例强调了在差异诊断中考虑肺外结核的重要性,即使是异常呈现.
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