一个孤立的 Mycobacterium 结核病 vulvar 病变:一个病例报告
Caren Challita1, Nour El Moussawi2, Maya Dagher1
1Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Faculty of Medicine, Beirut 11072020, Lebanon.
Infectious medicine
|December 24, 2025
概括
Vulvar结核病是一种罕见的感染. 一个慢性部病变的病例成功地用标准抗结核疗法治疗,突出了在流行地区考虑结核病的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 妇科 妇科 妇科 妇科
背景情况:
- Vulvar结核病是一种极为罕见的肺外结核病形式,由Mycobacterium tuberculosis引起.
- 慢性部病变可能被误诊,经常被视为性传播感染.
研究的目的:
- 报告一个孤立的结核病病例.
- 为了强调这种罕见疾病的诊断挑战和治疗.
主要方法:
- 一个28岁女性的案例研究,患有持续的部病变.
- 通过 vulva 活检证实了诊断,该活检显示了 caseating 颗粒瘤和阳性 mycobacterial 培养物.
主要成果:
- 这位患者在病史中出现了3个月的疼痛性部病变,对抗生素没有反应.
- 组织病理学揭示了状颗粒瘤,并从活检中培养了Mycobacterium tuberculosis.
- 通过标准抗结核疗法实现了完整的治疗.
结论:
- 这一案例强调了考虑结核病在慢性部病变的特有地区的重要性.
- 组织活检和长时间的真菌菌培养对诊断至关重要,特别是当初始染色体呈阴性时.
相关概念视频
Pulmonary Tuberculosis V
520
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
520
Pulmonary Tuberculosis I
801
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
801
Pulmonary Tuberculosis III
884
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
884
Pulmonary Tuberculosis IV
467
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
467
Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K


