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结核性淋巴结炎:早期诊断与干预

Tuberculous lymphadenitis: early diagnosis and intervention.

作者信息

Hegde Shourya, Rithesh K B, Baroudi Kusai, Umar Dilshad

机构信息

Assistant Professor, Department of Orthodontics and Dentofacial Orthopaedics, Yenepoya University, Deralakatte, Mangalore, Karnataka, India.

Assistant Professor, Department of Oral & Maxillofacial Surgery, AJ Institute of Dental Sciences, Kuntikana, Mangalore, Karnataka, India.

出版信息

J Int Oral Health. 2014 Nov-Dec;6(6):96-8.

Abstract

Tuberculosis (TB) is reported to be one of the most widespread systemic bacterial infectious diseases frequently triggered by Mycobacterium TB. It is anticipated to have a prevalence of approximately 8 million individuals each year, and 3 million individuals die of complications related with the ailment. We present a case of a 5-year-old female patient with a painless swelling in her left submandibular region. She was diagnosed with left submandibular TB lymphadenitis based on histopathology report. Extra pulmonary TB of the oral cavity and its associated structures are diagnostic challenge. Lesions are often slow developing, painless, and hence are primarily ignored. Although manifestations of TB are atypical in head and neck area, clinicians should integrate them in the differential diagnosis. A hasty diagnosis with well-timed treatment can thwart complications.

摘要

据报道,结核病(TB)是最广泛传播的全身性细菌感染性疾病之一,常由结核分枝杆菌引发。预计每年有大约800万人患病,300万人死于与该疾病相关的并发症。我们报告一例5岁女性患者,其左下颌下区域出现无痛性肿胀。根据组织病理学报告,她被诊断为左下颌下结核性淋巴结炎。口腔及其相关结构的肺外结核是诊断上的挑战。病变通常发展缓慢、无痛,因此常被忽视。尽管结核病在头颈部的表现不典型,但临床医生应将其纳入鉴别诊断。及时进行准确诊断并给予治疗可避免并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b8/4295467/2e31c0b9f9b4/JIOH-6-96-g001.jpg

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