免疫功能低下患者的中东结核病：病例报告及文献复习。

Middle east tuberculosis in an immunocompromised patient: Case report and review of the literature.

机构信息

Department for Otolaryngology and Head and Neck Surgery, Clinical Hospital Center Rijeka, Kresimirova 42, 51000 Rijeka, Croatia.

出版信息

J Infect Public Health. 2021 Jan;14(1):139-142. doi: 10.1016/j.jiph.2020.10.011. Epub 2020 Nov 21.

DOI:10.1016/j.jiph.2020.10.011

PMID:33234409

Abstract

Tuberculosis is an airborne disease caused by Mycobacterium tuberculosis. In 15-20% cases of active disease extrapulmonary tuberculosis may occur, most commonly in the head and neck region. Tuberculous otitis media accounts for 0,1% of the total number of tuberculosis patients. This paper provides insight into current state of literature of tuberculous otitis media. It also includes the case of a 53-year-old patient with tuberculous otitis media. The patient had a liver transplantation and she showed an atypical manifestation of the disease including acute otitis media and coinfection with Achromobacter xylosoxidans. The paper describes in detail the methods of diagnosis and the infection treatment. Considering the polymorphic clinical presentation of tuberculous otitis media in cases with long lasting otorrhoea differential diagnosis should include an infection with Mycobacerium tuberculosis.

摘要

结核病是由结核分枝杆菌引起的空气传播疾病。在 15-20%的活动性疾病病例中可能发生肺外结核病，最常见于头部和颈部区域。结核性中耳炎占结核病患者总数的 0.1%。本文深入探讨了结核性中耳炎的当前文献状况。它还包括一名 53 岁结核性中耳炎患者的病例。该患者曾接受过肝移植，表现出不典型的疾病表现，包括急性中耳炎和与木糖氧化无色杆菌的合并感染。本文详细描述了诊断方法和感染治疗方法。鉴于结核性中耳炎在长期耳漏病例中的多态临床表现，鉴别诊断应包括结核分枝杆菌感染。