类风湿关节炎患者以孤立性大量心包积液形式出现的结核病表现。
Presentation of tuberculosis as isolated massive pericardial effusion in a patient with rheumatoid arthritis.
作者信息
Habib Sultana, Akhter Parveen, Razzak Salma, Jamal Zahid, Rasool Ishtiaq, Zaman Khan Shah
机构信息
National Institute of Cardiovascular Diseases, Karachi.
出版信息
J Pak Med Assoc. 2012 Jan;62(1):65-7.
The case of a 60 year old male patient, diagnosed with rheumatoid arthritis presenting with recurrent massive pericardial effusion, and unresponsive to treatment of rheumatoid arthritis is documented. Pericardial biopsy proved Tuberculous pericarditis with positive fluid culture for Mycobacterium Tuberculosis. Anti-tuberculous treatment was started along with corticosteroids. Follow up after three months showed no evidence of pericardial effusion.
记录了一名60岁男性患者的病例，该患者被诊断为类风湿性关节炎，伴有反复大量心包积液，且对类风湿性关节炎治疗无反应。心包活检证实为结核性心包炎，心包积液培养出结核分枝杆菌呈阳性。开始进行抗结核治疗并同时使用皮质类固醇。三个月后的随访显示没有心包积液的迹象。
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