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肛门结核性溃疡及肛裂伴肺结核

[Tuberculosis ulcerosa of the anus and anal fissure accompanied by pulmonary tuberculosis].

作者信息

Nalepa Piotr, Pasowicz Mieczysław, Straczek Celina

机构信息

1st Department of Lungs' Diseases, The John Paul II Hospital in Kraków.

出版信息

Pol Merkur Lekarski. 2006 Nov;21(125):477-9.

Abstract

Dermal tuberculosis is being rarely diagnosed and its incidence in Poland is less than I % of all registered cases of this disease. A case of the alcohol abusing patient with diagnosed tuberculosis ulcerosa of the anal fissure and pulmonary tuberculosis has been described. Bacteriological confirmation has been achieved using PCR and Bactec 460 methods. Complete healing of the cutaneous lesions and regression of radiological titers in lungs has been achieved as a result of applied typical antituberculotic treatment. Delayed diagnostics of the patient (6 months from occurrence of the cutaneous lesions) endangered other persons, including healthcare employees' health to infection with tubercle bacillus. This speaks for a need of continuous reminding physicians that infection with tuberculosis may manifest itself from various organs.

摘要

皮肤结核很少被诊断出来,在波兰其发病率占该疾病所有登记病例的比例不到1%。本文描述了一例酗酒患者,其被诊断患有肛裂结核性溃疡和肺结核。通过聚合酶链反应(PCR)和Bactec 460方法实现了细菌学确诊。应用典型的抗结核治疗后,皮肤病变完全愈合,肺部放射学指标有所改善。患者诊断延迟(皮肤病变出现后6个月)对包括医护人员在内的其他人的健康构成了感染结核杆菌的风险。这表明需要持续提醒医生,结核病感染可能在各个器官表现出来。

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