Thiam M H, Karfo K, Sylla O, Gueye M
Clinique Psychiatrique Moussa Diop, BP 5406, Dakar-Fann, Sénégal.
Med Trop (Mars). 2000;60(4):372-4.
This report describes a case of mental confusion associated with ongoing adenitis and pulmonary tuberculosis in a 20-year-old man with no history of psychiatric disorders. Diagnosis was based on clinical and laboratory findings. Tranquillizers improved mental status and antituberculosis treatment was administered before referring the patient to an internal medicine department. The authors emphasize the rarity of these cases in the Senegalese medical literature and discuss possible diagnostic pitfalls.
本报告描述了一名20岁男性病例,该患者无精神疾病史,却出现了与持续性腺炎和肺结核相关的精神错乱。诊断基于临床和实验室检查结果。在将患者转诊至内科之前,使用了镇静剂改善精神状态并进行了抗结核治疗。作者强调了此类病例在塞内加尔医学文献中的罕见性,并讨论了可能的诊断陷阱。