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一个颗粒状题:没有AFB线索的结核性淋巴结炎
Anupriya Sah1, Iccha Kumar Maharjan2, Pragya Regmee2
1College of Dental Surgery BP Koirala Institute of Health Sciences Dharan Nepal.
Clinical case reports
|February 6, 2026
概括
结核淋巴腺炎 (TBL),一种常见的肺外结核病形式,可以呈现异常. 精细针吸入细胞学 (FNAC) 有助于早期诊断,即使基因Xpert和AFB测试呈阴性.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 结核性淋巴腺炎 (TBL) 是肺外结核病 (EPTB) 最常见的表现,占病例的20%-40%.
- 在头部和部的非典型的TBL表现可以模仿其他严重的疾病,带来诊断挑战.
研究的目的:
- 报告一个TBL病例,头部和部区域呈现异常.
- 要突出细针吸入细胞学 (FNAC) 在TBL的诊断实用性,特别是当常规测试呈阴性结果时.
主要方法:
- 一个45岁的男性的病例介绍,他的下巴逐渐胀.
- 诊断工作包括恶性瘤的初始错误诊断,其次是组织病理学检查 (HPE),FNAC,酸快细菌 (AFB) 染色和Gene Xpert测试.
- 治疗包括为期2个月的抗结核疗法.
主要成果:
- 最初的咨询建议癌症;HPE显示结核粒状病变.
- FNAC表示TBL,但AFB染色和Gene Xpert对Mycobacterium结核病呈阴性.
- 患者经过2个月的抗结核药物治疗方案显著改善.
结论:
- 在头部和部的非典型TBL呈现需要高度的怀疑指数.
- FNAC是一种有价值的,快速的,最小侵入性的工具,用于诊断TBL,即使 AFB染色和Gene Xpert.的负面结果也是如此.
- 早期诊断和治疗TBL对于有利的患者结果至关重要.
相关概念视频
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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...
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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:
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The first classification is based on the development of the disease, and it includes the following categories:
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