Bentaleb A, Tagu P, Vascaut L
Service de Pneumologie, Centre Hospitalier Général Jeanne d'Arc, Bar le duc, France.
Rev Mal Respir. 2007 May;24(5):625-9. doi: 10.1016/s0761-8425(07)91131-6.
The appearance of a peripheral lymph node tuberculosis in end of anti-tuberculosis treatment of a pulmonary tuberculosis is a rare phenomenon whose assumption of responsibility, particularly therapeutic, is not reproduced on the recommendations of WHO.
It is about a case of a 36 years old patient who presented, in end anti-TB treatment for ulcéroinfiltrative pulmonary tuberculosis, a left axillary adenopathy of important size. The treatment consisted with a puncture aspiration with the fine needle as well as the prolongation of the duration of the anti-TB treatment from 6 to 9 months. The evolution was favourable on radio-clinical and bacteriological level.
The puncture-aspiration of a paradoxical adenopathy in end of the anti-TB treatment as well as the prolongation of the duration of the treatment is effective and could constitute an alternative to the surgical excision.
在肺结核抗结核治疗末期出现外周淋巴结结核是一种罕见现象，其责任认定，尤其是治疗方面，并未在世界卫生组织的建议中体现。
这是一名36岁患者的病例，该患者在接受溃疡性浸润型肺结核抗结核治疗末期，出现了较大尺寸的左腋窝淋巴结病。治疗包括细针穿刺抽吸以及将抗结核治疗时间从6个月延长至9个月。在放射临床和细菌学层面，病情进展良好。
在抗结核治疗末期对矛盾性淋巴结病进行穿刺抽吸以及延长治疗时间是有效的，并且可以作为手术切除的替代方法。
