Muttarak M, ChiangMai W N, Lojanapiwat B
Department of Radiology, Chiang Mai University, 110 Intavaroros Road, Chiang Mai 50200, Thailand.
Singapore Med J. 2005 Oct;46(10):568-74; quiz 575.
The prevalence of pulmonary and extrapulmonary tuberculosis (TB) has been increasing over the past decade, due to the rising number of people with acquired immunodeficiency syndrome and the development of drug-resistant strains of Mycobacterium tuberculosis. The genitourinary tract is the most common site of extrapulmonary TB. Diagnosis is often difficult because TB has a variety of clinical and radiological findings. It can mimic numerous other disease entities. A high level of clinical suspicion and familiarity with various radiological manifestations of TB allow early diagnosis and timely initiation of proper management. This pictorial essay illustrates the spectrum of imaging features of TB affecting the kidney, ureter, bladder, and the female and male genital tracts.
在过去十年中,由于获得性免疫缺陷综合征患者数量的增加以及结核分枝杆菌耐药菌株的出现,肺结核和肺外结核的患病率一直在上升。泌尿生殖道是肺外结核最常见的部位。由于结核病有多种临床和影像学表现,诊断往往很困难。它可以模仿许多其他疾病实体。高度的临床怀疑以及对结核病各种影像学表现的熟悉有助于早期诊断并及时开始适当的治疗。这篇影像文章展示了影响肾脏、输尿管、膀胱以及女性和男性生殖道的结核病的影像特征谱。