流行性结核病患者患有流行性腹的流行性结核病:一个病例报告
Vishal Kumar1, Basanta Manjari Swain1, Sangram Panda1
1Department Radio-Diagnosis, Kalinga Institute of Medical Science, Bhubaneswar, Odisha, India.
Journal of medical ultrasound
|September 29, 2025
概括
生殖尿路结核病 (TB) 结核炎是一种罕见的疾病. 这一案例凸显了高分辨率超声波和进一步的成像对于诊断这种具有挑战性的阴囊病理至关重要,即使是阴性尿液培养.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 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:
- 结核病 (TB) 是一个全球性的健康问题,主要影响肺部,但可以在肺部外表现.
- 生殖尿路 (GU) 结核病,特别是结核炎,很少见,在诊断上具有挑战性.
- 精确区分GU TB对于有效治疗至关重要.
研究的目的:
- 为了呈现一个生殖尿管结核性脊髓炎的病例.
- 强调诊断挑战和考虑结核病在阴囊病理中的重要性.
- 突出先进的成像和诊断技术的作用.
主要方法:
- 一个34岁的男性患有阴囊胀,背痛和发烧的案例研究.
- 阴囊的高分辨率超声波.
- 胸部的高分辨率计算机断层扫描 (CT) 和背腰椎的对比增强MRI (CEMRI).
- 从 epididymal 采集的吸收细胞学.
主要成果:
- 超声波显示左丸胀,血管性增加和低声结节.
- CT和CEMRI证实了扩散的结核病.
- 吸收细胞学表明结核病因,尽管尿液培养阴性.
- 通过酸快细菌 (AFB) 鉴定和颗粒瘤证实了诊断.
结论:
- 生殖尿路结核病,特别是单独的冠状腺参与,带来了诊断困难.
- 临床,生物化学和放射学证据对于诊断至关重要.
- 高分辨率超声波是阴囊病理的关键;吸收和细胞学对于 epididymal 收集至关重要.
- 放射性成像有助于检测局部和扩散的结核病和并发症.
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