结核病作为老年人唾液腺快速肿胀的病因——病例报告
Tuberculosis as a Cause of Rapid Salivary Gland Swelling in the Elderly - A Case Report.
作者信息
Lorenzo Villalba Noel, Alonso Ortiz Maria Belen, Cordoba Sosa Zaida, Suárez Ortega Saturnino, Zulfiqar Abrar-Ahmad
机构信息
Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Internal Medicine Department, Dr Negrin University Hospital, Las Palmas de Gran Canaria, Spain.
出版信息
Eur J Case Rep Intern Med. 2020 Feb 20;7(3):001505. doi: 10.12890/2020_001505. eCollection 2020.
UNLABELLED
A 77-year-old man was admitted to the internal medicine department for a 5-day history of progressive preauricular swelling. Two lines of antibiotic treatment failed to achieve any improvement. Fine needle aspiration cytology was conducted and smear staining with the Ziehl-Neelsen stain as well as a PCR test were positive for . These results were confirmed with culture of the sample. A diagnosis of tuberculosis parotitis was made and anti-tuberculous drugs were initiated.
LEARNING POINTS
In patients not responding to usual antibiotic treatment, other rare causes of parotitis should be suspected.Fine needle aspiration cytology was an important procedure in establishing the diagnosis.
未标注
一名77岁男性因进行性耳前肿胀5天入住内科。两疗程抗生素治疗均未取得任何改善。进行了细针穿刺细胞学检查，齐-尼氏染色涂片及聚合酶链反应检测均呈阳性。样本培养结果证实了这些结果。诊断为腮腺结核，并开始使用抗结核药物治疗。
学习要点
对于常规抗生素治疗无效的患者，应怀疑腮腺炎的其他罕见病因。细针穿刺细胞学检查是确诊的重要步骤。
Zotero 插件