千里亚结核病患者的临床概况,实验室特征和预后因素
Hamida Kwas1, Hayfa Rajhi2, Harish Rangareddy3
1Pulmonology Department. University of Sfax, Faculty of Medicine of Sfax. Gabes University Hospital, Tunisia.
The Indian journal of tuberculosis
|March 1, 2025
概括
千叶结核病 (TB) 严重,但大多数患者会康复. 晚年,糖尿病,发烧和低氧水平预示着不良结果,需要早期干预.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 是一种严重传播的结核病形式,在免疫能力强的个体中罕见.
- 结核病在突尼斯东南部仍然流行,需要对其具体表现和结果进行研究.
研究的目的:
- 研究千里亚结核病的临床,生物和放射学特征.
- 鉴定突尼斯东南部的千里亚结核病患者不良结局的相关因素.
主要方法:
- 对2006年至2023年间确诊的千里亚结核病例的回顾性研究.
- 多变量逻辑回归分析以确定预测预后不佳的因素.
主要成果:
- 千里亚结核病占所有结核病例的1.8%;66.6%是女性.
- 常见的症状包括咳,食欲丧失和发烧;典型的放射学模式是频繁的,但唾液阳性性很低 (36.1%).
- 77.7%的患者出现了有利的结局,但死亡率为16.6%. 预后不佳的预测因素包括65岁以上,糖尿病,发烧和低氧和.
结论:
- 晚年,糖尿病,发烧和低氧和是千里结核病预后不佳的重要预测因素.
- 早期识别和高风险个体的有针对性管理对于改善千叶结核病患者的临床结果至关重要.
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