Dres M, Demoule A, Schmidt M, Similowski T
Assistance Publique - Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière, Service de Pneumologie et Réanimation Médicale, 47-83 Bd de l'Hôpital, 75651 Paris Cedex 13, France.
Respir Med Case Rep. 2012 Nov 26;7:15-6. doi: 10.1016/j.rmcr.2012.10.002. eCollection 2012.
Tuberculosis and lymphoma can share common features. We report the case of a non-HIV 60-year old man diagnosed with a severe form of disseminated tuberculosis in whom the atypical course of the disease under treatment led to investigations that unveiled the coexistence a non-Hodgkin lymphoma. This rare association has putative pathophysiological foundations. This justifies to raise the lymphoma hypothesis when a proved tuberculosis exhibits an atypical course.
肺结核和淋巴瘤可能有共同特征。我们报告一例60岁非HIV感染男性病例,该患者被诊断为重症播散性肺结核,其治疗过程中的非典型病程促使进一步检查,结果发现同时存在非霍奇金淋巴瘤。这种罕见的关联存在假定的病理生理基础。这表明,当确诊的肺结核表现出非典型病程时,有必要提出淋巴瘤的假说。