AlKhateeb Mohammad H, Aziz Afia, Eltahir Mugahid, Elzouki Abdulnasser
Internal Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus. 2020 Nov 28;12(11):e11734. doi: 10.7759/cureus.11734.
Tuberculosis (TB) is a global pandemic and is one of the top 10 causes of death worldwide as well as the leading cause of death from a single infectious agent.It can cause a wide array of complications including peripheral neuropathy. In addition to TB pandemic the recent pandemic of coronavirus disease 2019 (COVID-19) has led to an increased interest in the co-infection of TB patients and COVID-19 and whether TB increases risk for COVID-19 and its role in causing severity of disease and vice-versa.This case report discusses about a young cachectic man who was found to have bilateral foot-drop under the setting of TB with co-infection of COVID-19 later confirmed to be axonal neuropathy on nerve conduction study. The report highlights the importance of differential diagnosis of TB in COVID-19 patients as well as the consideration of TB in a patient with peripheral neuropathy after nutritional causes have been ruled out.
结核病（TB）是一种全球大流行病，是全球十大死因之一，也是单一传染源导致死亡的主要原因。它可引发多种并发症，包括周围神经病变。除了结核病大流行外，近期的2019冠状病毒病（COVID-19）大流行引发了人们对结核病患者与COVID-19合并感染的更多关注，以及结核病是否会增加感染COVID-19的风险及其在导致疾病严重程度方面的作用，反之亦然。本病例报告讨论了一名年轻的消瘦男子，他在患有结核病的情况下出现双侧足下垂，后来经COVID-19合并感染确诊，神经传导研究显示为轴索性神经病变。该报告强调了在COVID-19患者中对结核病进行鉴别诊断的重要性，以及在排除营养性原因后，对于患有周围神经病变的患者考虑结核病的必要性。
