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全面鉴别诊断的重要性：一例无肺部受累患者的结核瘤病例报告

The Importance of a Complete Differential: Case Report of a Tuberculoma in a Patient without Pulmonary Involvement.

作者信息

Sethi Pooja, Treece Jennifer, Onweni Chidinma, Pai Vandana, Rahman Zia, Singh Siddharth

机构信息

Cardiology, Quillen College of Medicine, East Tennessee State University.

Internal Medicine, Quillen College of Medicine, East Tennessee State University.

出版信息

Cureus. 2017 Jun 28;9(6):e1405. doi: 10.7759/cureus.1405.

DOI:10.7759/cureus.1405
PMID:28852602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5573036/
Abstract

Patients with a tuberculoma typically present with pulmonary involvement of tuberculosis and have risk factors for tuberculosis (TB). The risk factors for tuberculosis include bacillary load, proximity to infectious case, immunosuppressive conditions, malnutrition, young age, diabetes mellitus, working in healthcare, recent incarceration, alcohol use, and tobacco use. Although rare, it is possible for a patient to present with a tuberculoma despite the absence of risk factors for tuberculosis other than diabetes and without pulmonary involvement.

摘要

结核瘤患者通常表现为肺结核受累，并有患结核病（TB）的风险因素。结核病的风险因素包括细菌负荷、与传染源的接近程度、免疫抑制状况、营养不良、年轻、糖尿病、从事医疗保健工作、近期监禁、饮酒和吸烟。虽然罕见，但患者有可能在除糖尿病外没有其他结核病风险因素且无肺部受累的情况下出现结核瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/827631c92603/cureus-0009-00000001405-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/98ed7e91f040/cureus-0009-00000001405-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/5987267df5ce/cureus-0009-00000001405-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/827631c92603/cureus-0009-00000001405-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/98ed7e91f040/cureus-0009-00000001405-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/5987267df5ce/cureus-0009-00000001405-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/5573036/827631c92603/cureus-0009-00000001405-i03.jpg

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