Luetkens Julian A, Zoghi Shahram, Rockstroh Jürgen K, Naehle Claas P
Department of Radiology, University of Bonn, Bonn, Germany.
BMJ Case Rep. 2014 Apr 11;2014:bcr2013203333. doi: 10.1136/bcr-2013-203333.
Tuberculosis and sarcoidosis share similar histopathological findings. An aetiological connection between these diseases has been discussed. We report a case of pulmonary sarcoidosis, which occurred shortly after an isoniazid (INH)-resistant spinal tuberculosis was diagnosed which was suspected to be a miliary tuberculosis. This report illustrates the need to sensitise clinicians to two possible important causes of lung parenchyma alterations under tuberculostatic therapy.
肺结核和结节病具有相似的组织病理学表现。人们已探讨过这些疾病之间的病因学联系。我们报告一例肺结节病病例,该病例在诊断出耐异烟肼(INH)的脊柱结核(疑似粟粒性结核)后不久发生。本报告表明有必要让临床医生认识到在抗结核治疗过程中肺实质改变的两种可能的重要病因。