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印度北部罕见的一例肺结核合并包虫病病例,并进行文献复习。

A rare case of coexisting tuberculosis with hydatid disease from North India with review of literature.

机构信息

Paediatrics, All India Institute of Medical Sciences, Rishikesh, India

Microbiology, All India Institute of Medical Sciences, Rishikesh, India.

出版信息

BMJ Case Rep. 2020 Sep 7;13(9):e235301. doi: 10.1136/bcr-2020-235301.

Abstract

Coexisting tuberculosis (TB) and hydatid disease in an immunocompetent individual is an extremely rare occurrence. Given the similarities in the clinical manifestations and morbidities of both, specific diagnosis in individuals coinfected with these is difficult. We, hereby present a case of a 17-year-old adolescent man diagnosed to be a coinfection of pulmonary TB with pulmonary and cardiac hydatid disease, with the review of cases having a similar presentation. The coexistence of these infections should be considered in endemic areas. Management can only be done by a multidisciplinary approach including surgical, microbiological, histopathological and radiological facilities. Complete surgical excision of the cyst is the treatment of choice and medical therapy for both aetiologies should be appropriate to achieve cure.

摘要

在免疫功能正常的个体中同时存在结核(TB)和包虫病极为罕见。鉴于两者在临床表现和并发症方面具有相似性,因此在个体中对这些疾病进行明确诊断具有一定难度。我们在此报告了一例 17 岁青少年男性患有肺结核合并肺和心脏包虫病的病例,并回顾了具有类似表现的病例。在流行地区应考虑这些感染的合并存在。管理只能通过多学科方法来进行,包括外科、微生物学、组织病理学和放射学设施。完全切除囊肿是治疗的首选,两种病因的药物治疗都应适当,以达到治愈。

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本文引用的文献

1
Pericardial hydatid cyst and tuberculosis co-existence.心包包虫囊肿与结核并存。
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Apr 30;26(2):312-315. doi: 10.5606/tgkdc.dergisi.2018.14909. eCollection 2018 Apr.
2
[Coinfection with hydatid cyst and pulmonary tuberculosis].[包虫囊肿与肺结核合并感染]
Rev Mal Respir. 2018 Sep;35(7):723-726. doi: 10.1016/j.rmr.2017.04.008. Epub 2018 Aug 11.
3
Cardiac Hydatid cysts; presentation and management. A case series.心脏包虫囊肿;临床表现与治疗。病例系列报道
Ann Med Surg (Lond). 2018 Apr 7;30:18-21. doi: 10.1016/j.amsu.2018.04.001. eCollection 2018 Jun.
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Tubercular infection of hydatid cyst.包虫囊肿的结核感染
Int J Mycobacteriol. 2017 Apr-Jun;6(2):207-209. doi: 10.4103/ijmy.ijmy_15_17.
5
Helminth-Tuberculosis Co-infection: An Immunologic Perspective.蠕虫-结核共感染:免疫学视角
Trends Immunol. 2016 Sep;37(9):597-607. doi: 10.1016/j.it.2016.07.005. Epub 2016 Aug 5.
6
Cystic pulmonary hydatidosis.囊性肺包虫病
Lung India. 2016 Mar-Apr;33(2):179-91. doi: 10.4103/0970-2113.177449.

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