膀癌的静脉内疗法导致扩散性结核病和穿孔粘膜:一个病例报告
Wed Alwabel1, Abdulrahman Almisfer2, Ibrahim Alsamaani2
1College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
腹部结核病,通常模仿癌症,是罕见的. 这一案例突出了传播性结核病,可能是由于Bacillus Calmette-Guérin (BCG) 治疗,在一位老年患者中呈现为肠道穿孔.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 腹结核病 (TB) 影响着腹腔和腹膜,呈现出类似恶性瘤的模糊症状.
- 这是一种不常见的疾病,发生在1%-3%的结核病例中.
- 标准治疗包括6-9个月的抗结核药物治疗,并为并发症预留了手术.
研究的目的:
- 在老年患者中呈现一种罕见的传播性结核病病例.
- 为了突出一种潜在的并发症,静脉注射Bacillus Calmette-Guérin (BCG) 治疗.
- 讨论诊断挑战和腹部结核病的管理模仿转移性癌症.
主要方法:
- 一个81岁的老人病例报告,有复发性膀癌史和静脉BCG治疗.
- 临床表现包括腹,吐和小肠穿孔.
- 进行了形切除,随后进行了组织病理学检查和微生物学测试.
主要成果:
- 患者出现了最初怀疑是转移性癌症的症状.
- 组织病理学揭示了结核性颗粒状炎症.
- 检测证实了传播性结核病,强烈暗示了系统性BCG感染.
结论:
- 扩散性结核病可以模仿晚期恶性瘤,造成诊断挑战.
- 静脉BCG治疗可能与全身结核感染有关.
- 及时诊断和适当的抗结核治疗对于管理这种病例至关重要.
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