结核性骨髓炎伪装成急性乳腺炎
Aarushi Saini1, Jolly Rohatgi2, Rajender Prasad3
1Ophthalmology, Guru Nanak Eye Centre, New Delhi, Delhi, India.
BMJ case reports
|April 4, 2025
概括
结核病 (TB) 可以导致轨道和骨髓炎,模仿乳腺炎. 早期诊断和抗结核治疗对于有利的结果至关重要,特别是在结核病流行地区.
科学领域:
- 眼科医生 眼科 眼科
- 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:
- 乳腺炎是眼腺炎的炎症,可以呈现出轨道胀.
- 不响应的轨道炎症需要对不太常见的原因进行调查,例如结核病.
研究的目的:
- 报告一个表现为乳腺炎的轨道结核病病例.
- 突出诊断挑战和成功管理轨道结核病.
主要方法:
- 一个年轻的女性与轨道胀的临床表现.
- 诊断成像包括CT扫描和超声波.
- 微生物学证实了Mycobacterium结核病,使用基于卡特里奇的核酸放大测试 (CBNAAT).
主要成果:
- 扫描显示了侧轨道壁的骨髓炎和冷.
- 液排水和CBNAAT证实了结核病.
- 抗结核治疗导致了完全的解决,并且在2年内没有复发.
结论:
- 在不对抗生素反应的乳腺炎的情况下,应考虑轨道结核病.
- 在结核病流行地区,高可疑指数至关重要.
- 及时诊断和治疗确保了良好的预后.
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