肺结核与结节病并存：诊断难题。
Coexistence of pulmonary tuberculosis and sarcoidosis: a diagnostic dilemma.
作者信息
Mandal Sanjay Kumar, Ghosh Sudip, Mondal Soumya Sarathi, Chatterjee Sumanta
机构信息
Department of Internal Medicine, Medical College, Kolkata, West Bengal, India.
出版信息
BMJ Case Rep. 2014 Dec 19;2014:bcr2014206016. doi: 10.1136/bcr-2014-206016.
Abstract
Tuberculosis and sarcoidosis are multisystem diseases having different aetiology and management; however, they have similar clinical and histological characteristics. Very rarely they may coexist. We report a rare case of a 38-year-old woman who presented with chronic cough, low-grade fever and respiratory distress that was initially diagnosed as miliary tuberculosis. Diagnosis was supported by positive mycobacterial culture and initially responded to antitubercular treatment, but later recurrences led to further investigations and the diagnosis of coexisting sarcoidosis.
摘要
结核病和结节病是病因和治疗方法不同的多系统疾病；然而，它们具有相似的临床和组织学特征。它们同时存在的情况极为罕见。我们报告了一例罕见病例，一名38岁女性，表现为慢性咳嗽、低热和呼吸窘迫，最初被诊断为粟粒性肺结核。分枝杆菌培养呈阳性支持了该诊断，且最初对抗结核治疗有反应，但后来复发促使进一步检查，最终诊断为合并结节病。
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