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由分枝杆菌感染引起的纵隔淋巴结病。

Mediastinal lymphadenopathy due to mycobacterial infection.

作者信息

Meral Mehmet, Akgun Metin, Kaynar Hasan, Mirici Arzu, Gorguner Metin, Saglam Leyla, Erdogan Fazli

机构信息

Department of Chest Diseases, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

出版信息

Jpn J Infect Dis. 2004 Jun;57(3):124-6.

PMID:15218225
Abstract

Tuberculous lymphadenitis without pulmonary manifestation is an uncommon entity in developed countries, and the possibility of tuberculous infection is usually ignored in the differential diagnosis of lymphadenopathy. Therefore, appropriate treatment may be delayed. Paralysis of the recurrent laryngeal nerve caused by mediastinal lymphadenopathy due to tuberculosis is an extremely rare condition. In this paper, we present a patient who had vocal cord paralysis caused by tuberculous lymphadenopathy of the superior mediastinum. After anti-tuberculosis treatment, vocal cord function was only partially recovered, while the clinical, radiological, and laboratory abnormalities were completely recovered.

摘要

在发达国家,无肺部表现的结核性淋巴结炎是一种不常见的病症,在淋巴结病的鉴别诊断中,结核感染的可能性通常被忽视。因此,可能会延误适当的治疗。由结核引起的纵隔淋巴结病导致的喉返神经麻痹是一种极其罕见的情况。在本文中,我们报告了一名因上纵隔结核性淋巴结病导致声带麻痹的患者。抗结核治疗后,声带功能仅部分恢复,而临床、影像学和实验室异常完全恢复。

相似文献

1
Mediastinal lymphadenopathy due to mycobacterial infection.由分枝杆菌感染引起的纵隔淋巴结病。
Jpn J Infect Dis. 2004 Jun;57(3):124-6.
2
Tuberculous lymphadenopathy of superior mediastinum causing vocal cord paralysis.
Ann Thorac Surg. 2000 Dec;70(6):2142-3. doi: 10.1016/s0003-4975(00)01193-0.
3
Vocal cord palsy caused by mediastinal tuberculosis.纵隔结核引起的声带麻痹。
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Mediastinal tuberculous lymphadenitis with anthracosis as a cause of vocal cord paralysis.纵隔结核性淋巴结炎伴炭末沉着症作为声带麻痹的病因
Tuberk Toraks. 2007;55(4):409-13.
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[2 cases of esophageal compression due to tuberculous lymphadenitis].[2例结核性淋巴结炎致食管受压]
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Horner's syndrome and tuberculosis. A case report.
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[An adult case of cervico-mediastinal tuberculous lymphadenitis].[一例成人颈纵隔结核性淋巴结炎病例]
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[Glandular tuberculosis as the cause of dysphagia].[腺结核作为吞咽困难的病因]
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Tuberculous mediastinal lymphadenopathy can cause left vocal cord paralysis.结核性纵隔淋巴结病可导致左侧声带麻痹。
Br Med J (Clin Res Ed). 1983 May 14;286(6377):1562. doi: 10.1136/bmj.286.6377.1562.
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Papulonecrotic Tuberculid: A Rare Skin Manifestation in a Child with Mesenteric Tuberculous Lymphadenopathy.丘疹坏死性结核疹:肠系膜结核性淋巴结病患儿的一种罕见皮肤表现。
Acta Derm Venereol. 2017 Jan 4;97(1):137-138. doi: 10.2340/00015555-2486.

引用本文的文献

1
Hoarse voice: a rare presentation of tuberculosis lymphadenitis.声音嘶哑:结核性淋巴结炎的一种罕见表现。
BMJ Case Rep. 2016 Oct 24;2016:bcr2016216022. doi: 10.1136/bcr-2016-216022.
2
Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma.右侧凝视麻痹与声音嘶哑:纵隔结核合并孤立性脑桥前池结核瘤的罕见表现。
Case Rep Infect Dis. 2015;2015:718289. doi: 10.1155/2015/718289. Epub 2015 Nov 29.
3
Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis.
结核性心包炎伴左侧喉返神经麻痹所致声音嘶哑。
BMJ Case Rep. 2011 Oct 11;2011:bcr0620114409. doi: 10.1136/bcr.06.2011.4409.
4
An unusual cause of bronchial obstruction.支气管阻塞的一种罕见病因。
Lung India. 2012 Apr;29(2):182-4. doi: 10.4103/0970-2113.95339.