Ugurlu E, Altinisik G, Aydogmus U, Bir F
Pamukkale University, Medicine Faculty, Chest Disease Department, Denizli, Turkey.
Pamukkale University, Medicine Faculty, Thoracic Surgery Department, Denizli, Turkey.
Niger J Clin Pract. 2017 Apr;20(4):503-506. doi: 10.4103/1119-3077.204379.
A 19-year-old male patient was observed due to having central diabetes insipidus (DI) for five years. He had a history of smoking 5-10 cigarettes a day for two years, but stopped smoking from the last month. The computerized tomography revealed thin-walled cystic lesions in different sizes more dominantly in the upper lobes and consolidated areas in the left upper and lower lobes. The wedge resection from the right lower lobe revealed pulmonary langerhans cell histiocytosis. Follow-up acid-fast bacteria (AFB) examinations revealed (+++) and antituberculous treatment was started. On the 40th day of the anti-tuberculosis treatment, the patient applied once again due to fever and chest pain. Although infiltrations persisted in the left upper and middle zones in the postero-anterior lung rontgenogram, right-sided pneumothorax was detected. The case is considered tuberculosis and the patient continued to receive anti-TB treatment under the close supervision.
一名19岁男性患者因患有中枢性尿崩症5年而接受观察。他有两年每天吸烟5至10支的病史，但从上个月起戒烟。计算机断层扫描显示不同大小的薄壁囊性病变，以上叶更为明显，左上叶和下叶有实变区域。右下叶楔形切除术后显示为肺朗格汉斯细胞组织细胞增多症。后续抗酸杆菌（AFB）检查显示（+++），并开始抗结核治疗。在抗结核治疗第40天时，患者因发热和胸痛再次就诊。虽然后前位胸片上左上和中区仍有浸润，但检测到右侧气胸。该病例被诊断为肺结核，患者在密切监测下继续接受抗结核治疗。
