Krauth Daniel S, Stone-Garza Kristi K, Amaro Deirdre E, Reed Sharon L, Katsivas Theodoros F
Department of Medicine Naval Medical Center San Diego San Diego CA USA.
Department of Medicine Division of Infectious Diseases Naval Medical Center San Diego San Diego California.
Clin Case Rep. 2017 Aug 15;5(10):1561-1564. doi: 10.1002/ccr3.1119. eCollection 2017 Oct.
Central nervous system (CNS) tuberculosis should be considered in patients from endemic nations with worsening neurological symptoms. If imaging reveals possible CNS tuberculomas, potentially life-threatening lesions should be excised and analyzed. When disease is less severe, other tissues possibly infected should be biopsied first for diagnosis to avoid neurosurgery.
对于来自结核病流行国家且神经系统症状不断恶化的患者,应考虑中枢神经系统(CNS)结核。如果影像学检查显示可能存在中枢神经系统结核瘤,应切除并分析可能危及生命的病变。当病情不太严重时,应首先对其他可能感染的组织进行活检以进行诊断,避免进行神经外科手术。