Jouan M H, Ledaguenel P, Collet D, Périssat J
Service de Chirurgie Générale et Digestive, Centre Médico-Chirurgical du Haut-Lévèque, Pessac.
Ann Chir. 1997;51(9):1028-31.
The authors report a case of ileocaecal tuberculosis in a 27-year-old man with no particular risk factor for this disease. The initial diagnosis was terminal ileitis discovered at appendicectomy. The diagnosis of ileal tuberculosis was suspected in the presence of giant cell follicles on ileal biopsies, and was confirmed by the presence of AFB in the gastric intubation fluid. This patient presented known atypical pulmonary images for several years, which had never been investigated in more detail. A favourable course was observed in response to triple-agent, then double-agent antibiotic therapy. This case illustrates the fact that ileal tuberculosis still exists today, and that it does not exclusively affect "high-risk" patients.
作者报告了一例27岁男性的回盲部结核病例，该患者并无患此病的特殊危险因素。最初的诊断是在阑尾切除术中发现的末端回肠炎。在回肠活检发现巨细胞滤泡的情况下怀疑为回肠结核，并通过胃插管液中存在抗酸杆菌得以确诊。该患者数年来一直有已知的非典型肺部影像表现，但从未进行过更详细的检查。在接受三联，然后是双联抗生素治疗后，病情出现好转。该病例表明，回肠结核如今仍然存在，而且并非仅影响“高危”患者。
