[肝脾分枝杆菌病，一种可能的肺外结核的罕见形式。病例报告及文献复习]
[Hepatic-splenic micobacteriosis, unusual form of probable extrapulmonary tuberculosis. Case report and review].
作者信息
Velásquez M Juan, Szigethi Q Muschi, Panace V Rita, Morales I Ricardo, Márquez C Silvia, Pefaur P Jacqueline, Mocarquer M Alfredo, Salinas C Pedro, Beltrán B Carlos
机构信息
Servicio de Medicina Interna, Hospital Barros Luco Trudeau, Santiago, Chile.
出版信息
Rev Chilena Infectol. 2007 Feb;24(1):59-62. doi: 10.4067/s0716-10182007000100010. Epub 2007 Mar 8.
We report a 42 years old HIV negative male admitted for fever of unknown origin. Initial laboratory evaluation showed elevated hepatic transaminases and alkaline phosphatase and an hipodense hepatic imagen was visualized in the CT scan. Hepatic biopsy demonstrated tuberculous granulomas and alcohol fast acid rods with Ziehl Neelsen stain. Anti-tuberculous treatment resulted in resolution of fever, improvement of general condition and normalization of laboratory parameters.
我们报告了一名42岁的HIV阴性男性，因不明原因发热入院。初步实验室检查显示肝转氨酶和碱性磷酸酶升高，CT扫描显示肝脏有低密度影像。肝活检显示结核性肉芽肿，齐-尼氏染色可见抗酸杆菌。抗结核治疗后发热消退，一般状况改善，实验室指标恢复正常。
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