University of California Riverside School of Medicine and Riverside Medical Clinic, Riverside, CA 92506.
Scripps Clinic Torrey Pines, LaJolla, CA 92037.
Microbiol Spectr. 2016 Dec;4(6). doi: 10.1128/microbiolspec.TNMI7-0014-2016.
Gastrointestinal tuberculosis (TB) is a fascinating disease which can be observed both in the clinical context of active pulmonary disease and as a primary infection with no pulmonary involvement. It represents a significant clinical challenge because of the resurgence of TB as well as the diagnostic challenges it poses. A high clinical suspicion remains the most powerful tool in an era of medicine when reliance on diagnostic technology increases. Antimicrobial therapy is the mainstay of therapy, but surgical and endoscopic interventions are frequently required for intestinal TB. Gastrointestinal TB is truly the "great mimic" and continues to require the astute clinical acumen of skillful clinicians to diagnose and treat.
胃肠道结核病(TB)是一种非常有趣的疾病,它可以在活动性肺部疾病的临床背景下观察到,也可以作为一种没有肺部受累的原发性感染观察到。由于结核病的重新出现以及它带来的诊断挑战,它构成了一个重大的临床挑战。在依赖诊断技术增加的时代,高度的临床怀疑仍然是最有力的工具。抗菌治疗是治疗的主要方法,但肠道结核病通常需要手术和内镜干预。胃肠道结核病确实是“伟大的模仿者”,仍然需要熟练的临床医生敏锐的临床洞察力来诊断和治疗。