Kohli S C, Piryani R M
Department of Medicine, Nepalgunj Medical College, Nepalgunj, Nepal.
Kathmandu Univ Med J (KUMJ). 2007 Oct-Dec;5(4):531-3.
Patient with tuberculosis may present with atypical, unusual or complex features. The reported case is of 31 years lady admitted with fever, breathlessness and features of cardiac failure. She was detected to have right lower lung consolidation, minimal bilateral pleural effusion, features suggestive of sub-acute pericarditis and subsequent chest x-ray revealed miliary mottling as well. Later on Acid Fast Bacilli were detected in sputum and pleural fluid. Clinicians need to keep complex presentation of TB in mind to manage the case at its earlier stage to avoid residual complication.
肺结核患者可能表现出非典型、不寻常或复杂的症状。报告的病例是一名31岁女性，因发热、呼吸急促和心力衰竭症状入院。她被检测出右下肺实变、双侧少量胸腔积液、提示亚急性心包炎的症状，随后胸部X光检查也显示有粟粒状斑点。后来在痰液和胸腔积液中检测出抗酸杆菌。临床医生需要牢记结核病的复杂表现，以便在早期阶段处理病例，避免残留并发症。
