男性成人隐匿性背痛为表现的纵隔结核性淋巴结炎：病例报告及文献复习。

Department of Anaesthesiology, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.

J Int Med Res. 2021 Jan;49(1):300060520987102. doi: 10.1177/0300060520987102.

Mediastinal tuberculous lymphadenitis (MTL) is mostly observed in primary tuberculosis in infants, children and adolescents, and is not found commonly in adults. Mediastinal tuberculous lymphadenitis cases may present with an insidious progression of tuberculous symptoms, including gradual deterioration in the lungs and a variety of clinical characteristics; however, initial symptoms are rarely only chronic back pain. We present the case of a 33-year-old man with mediastinal tuberculous lymphadenitis misdiagnosed as myofascitis. Since such individuals do not develop respiratory symptoms in the initial stages, they often go undiagnosed and can potentially spread tuberculosis.

纵隔结核性淋巴结炎（MTL）主要见于婴幼儿和青少年的原发性肺结核，在成年人中不常见。纵隔结核性淋巴结炎患者可能表现为结核症状的隐匿性进展，包括肺部逐渐恶化和多种临床特征；然而，初始症状很少仅是慢性背痛。我们报告了一例 33 岁男性纵隔结核性淋巴结炎误诊为肌筋膜疼痛综合征的病例。由于这些患者在初期没有出现呼吸道症状，因此常常被漏诊，可能会传播结核病。