输尿管支架置入术后播散性肺结核：一例报告
Disseminated tuberculosis following the placement of ureteral stents: a case repot.
作者信息
Salem Bashar
机构信息
Hospitalist/Internal Medicine Department, Hillcrest Medical Center, 1145 South Utica Ave, Suite 1105, Tulsa, OK 74104, USA.
出版信息
Cases J. 2008 Dec 10;1(1):383. doi: 10.1186/1757-1626-1-383.
BACKGROUND
Miliary tuberculosis occurs as a result of hematogenous dissemination of Mycobacerium tuberculosis. This can occur due to progressive primary infection, reactivation of latent focus with subsequent spread, or rarely via iatrogenic origin.
CASE PRESENTATION
This is a case of 21 year-old woman presented with hydronephrosis and hematuria due to unrecognized renal tuberculosis. She underwent bilateral ureteral stent placement which lead to dissemination of the Mycobateria through the blood causing pulmonary tuberculosis and multiple tuberculous abscesses in the paraspinous muscles, pleural space and skin.
CONCLUSION
Disseminated tuberculosis due to Mycobacteremia after surgical intervention is a rare complication. Mycobacteria should be considered among other more common microorganisms that can cause post operative bacteremia.
背景
粟粒性肺结核是由结核分枝杆菌血行播散所致。其可因进行性原发性感染、潜伏病灶重新激活并随后扩散而发生，或极少情况下源于医源性感染。
病例报告
这是一例21岁女性病例，因未被识别的肾结核出现肾积水和血尿。她接受了双侧输尿管支架置入术，这导致结核分枝杆菌通过血液播散，引发了肺结核以及椎旁肌肉、胸腔和皮肤多处结核脓肿。
结论
手术干预后因分枝杆菌血症导致的播散性结核是一种罕见的并发症。在可引起术后菌血症的其他更常见微生物中，应考虑到分枝杆菌。
Zotero 插件