五例小儿先天性肺气道畸形酷似肺结核：诊断难题

Congenital pulmonary airway malformation mimicking as pulmonary tuberculosis in five paediatric patients: a diagnostic dilemma.

作者信息

Singh Jasbir, Dalal Poonam, Rattan Kamal Nain

机构信息

1 Senior Resident, Department of Paediatrics, PGIMS, Rohtak, Haryana, India.

2 Associate Professor, Department of Paediatrics, PGIMS, Rohtak, Haryana, India.

出版信息

Trop Doct. 2018 Jul;48(3):247-250. doi: 10.1177/0049475518765305. Epub 2018 Apr 6.

DOI:10.1177/0049475518765305

PMID:29621946

Abstract

A series of five children with delayed presentation of congenital pulmonary airway malformation (CPAM), all initially misdiagnosed as pulmonary tuberculosis, is described. All five children presented with recurrent respiratory infections and failure to thrive, having shown poor response to multiple antibiotics course, including anti-tubercular therapy for variable periods. Successful surgical intervention was belatedly instigated.

摘要

本文描述了一系列五例先天性肺气道畸形（CPAM）延迟就诊的儿童病例，他们最初均被误诊为肺结核。所有五名儿童均表现为反复呼吸道感染和生长发育迟缓，对多种抗生素疗程，包括不同时期的抗结核治疗反应不佳。最终才成功实施了手术干预。