在诊断上具有挑战性的散布的Bacillus Calmette-Guerin感染与肺部和肝脏的参与:一个病例报告
Shinichi Chang1, Makiko Yomota1, Ayumi Takizawa2
1Department of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital Tokyo Japan.
Respirology case reports
|December 22, 2025
概括
传播性巴塞勒斯卡尔梅特-格林 (BCG) 感染是膀癌治疗的罕见并发症,可能会出现非特异性症状. 这一案例凸显了成像和活检在培养结果为阴性时对诊断的重要性.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 静脉注射卡尔梅特 - 格林杆菌 (BCG) 是一种用于非肌肉侵入性膀癌的标准治疗方法.
- 传播的BCG感染是一种罕见但严重的并发症,通常难以从微生物学上诊断.
研究的目的:
- 报告传播的BCG感染病例,呈现出扩散性肺部疾病.
- 强调放射学和组织病理学发现在疑似传播的BCG感染中的诊断实用性.
主要方法:
- 一个73岁的男性患者接受了静脉BCG治疗的病例报告.
- 持续发烧,呼吸不全和黄的临床表现.
- 诊断工作包括胸部CT,肺部和肝脏活检.
主要成果:
- 胸部CT显示了扩散的微块.
- 肺部和肝脏的活检显示了非化颗粒瘤.
- 尽管微生物学测试呈阴性结果,但仍怀疑传播的BCG感染.
结论:
- 放射学和组织病理学发现对于诊断扩散性肺病,包括BCG并发症至关重要.
- 早期怀疑和适当的治疗对于患者的治疗结果至关重要.
- 这一案例强调了在传播的BCG感染中进行全面评估的诊断挑战和重要性.
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