儿科下腺结核病:一个病例报告
Diwan Israr Khan1, Sana Jameel2
1Department of Pediatrics, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. israrjnmch@gmail.com.
Journal of medical case reports
|November 19, 2025
概括
在儿童中,原发性下结核病异常罕见. 这一案例凸显了临床警对于诊断这种罕见的肺外结核病呈现的重要性,即使没有全身症状.
科学领域:
- 医学微生物学 医学微生物学
- 儿童传染病 儿童传染病
- 在瘤学瘤学.
背景情况:
- 结核病 (TB) 是一个重要的全球卫生问题,印度每年报告数百万病例.
- 肺外结核 (TB) 占结核病例的显著百分比,存在诊断方面的挑战.
- 主要下腺结核病非常罕见,特别是在儿科患者中.
研究的目的:
- 报告一例罕见的小发性结核病病例,该病例影响了小儿病人的下下腺.
- 强调儿童下下腺结核所需的诊断考虑和临床警.
- 为了解结核病罕见的肺外表现作贡献.
主要方法:
- 一个9岁的女孩子的病例介绍,在25天的病史中出现了非轻微的下下胀.
- 临床检查显示左下部区域有2.5厘米×2.0厘米的胀.
- 通过细针吸收细胞学 (FNAC) 确认了诊断,确定了暗示结核病的颗粒瘤.
主要成果:
- 患者出现局部下下胀,没有典型的全身结核病症状 (发烧,咳,体重减轻).
- FNAC结果与颗粒状炎症一致,导致诊断为原发性下下腺结核病.
- 这位病人有远程结核病家族史.
结论:
- 下下唾液腺的原发性结核感染在儿科患者中是一种罕见的实体.
- 诊断依赖于临床表现,FNAC和潜在的聚合酶连锁反应或组织病理学的组合.
- 及时的抗结核治疗是治疗这种疾病的基石.
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