Bernardeschi P, Bonechi I, Cavallini G
I Divisione di Medicina interna, Ospedale, San Miniato.
Recenti Prog Med. 1990 Jan;81(1):33-4.
The case of a patient submitted to sonographic abdominal examination because of recent onset of fever, abdominal pain and weight loss, with the finding of multiple enlarged lymph nodes along great vessels, is reported. Because of the negativity of noninvasive procedures, the patient underwent laparatomy and biopsy. The histologic and bacteriologic diagnosis of tuberculous lymphnodes was unexpected, as the patient was unreactive to the tuberculin skin test and had no signs of active pulmonary tuberculosis. Although uncommon, tuberculosis must be included in the differential diagnosis of subdiaphragmatic lymphadenopathies even if symptoms of mycobacterial infection or other signs of the infections are not presented.
报告了一例因近期出现发热、腹痛和体重减轻而接受腹部超声检查的患者，检查发现沿大血管有多个肿大淋巴结。由于无创检查结果为阴性，该患者接受了剖腹手术和活检。结核性淋巴结的组织学和细菌学诊断出人意料，因为该患者结核菌素皮肤试验无反应且无活动性肺结核迹象。尽管不常见，但即使没有分枝杆菌感染症状或其他感染迹象，在鉴别诊断膈下淋巴结病时也必须考虑结核病。
