Barnett Katrina, Medzon Ron
Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
CJEM. 2007 May;9(3):176-9. doi: 10.1017/s1481803500015037.
Scrofula, or tuberculous cervical lymphadenitis, though now rare, is more commonly seen in minorities, women and immunosuppressed patients, especially those with HIV. We discuss a patient who presented to the emergency department with an anterior neck abscess and was diagnosed with both advanced HIV and disseminated tuberculosis. A high level of suspicion is necessary to make this diagnosis, but given an increasing degree of global mobility, such patients may present anywhere. Medical management is effective, though difficult. Early diagnosis improves the patient's individual prognosis and may prevent further exposure and transmission to the population.
瘰疬，即结核性颈淋巴结炎，尽管现在较为罕见，但在少数族裔、女性和免疫抑制患者中更常见，尤其是那些感染艾滋病毒的患者。我们讨论了一名因颈部前方脓肿就诊于急诊科的患者，该患者被诊断为晚期艾滋病毒感染和播散性结核病。做出这一诊断需要高度怀疑，但鉴于全球流动性不断增加，此类患者可能在任何地方出现。尽管治疗困难，但药物治疗是有效的。早期诊断可改善患者的个体预后，并可能防止进一步传播给人群。
