南非的无声疫情：从头到脚的肺外结核病

The silent pandemic in South Africa: Extra-pulmonary tuberculosis from head to heel.

作者信息

Le Roux Camilla E, Vlok Sucari S C

机构信息

Department of Medical Imaging and Clinical Oncology, Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.

出版信息

SA J Radiol. 2021 Apr 16;25(1):2026. doi: 10.4102/sajr.v25i1.2026. eCollection 2021.

DOI:10.4102/sajr.v25i1.2026

PMID:33936795

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8063767/

Abstract

Extra-pulmonary tuberculosis (EPTB), caused by , is the leading cause of communicable disease-related deaths in people with human immunodeficiency virus (HIV) worldwide and in South Africa. disseminates haematogenously from an active primary lung focus and may affect extra-pulmonary sites in up to 15% of patients. Extra-pulmonary TB may present with a normal chest radiograph, which often causes a significant diagnostic dilemma. This review describes the main sites of involvement in EPTB, which is illustrated by local imaging examples.

摘要

由……引起的肺外结核病（EPTB）是全球和南非人类免疫缺陷病毒（HIV）感染者中与传染病相关死亡的主要原因。……从活跃的原发性肺部病灶经血行播散，高达15%的患者可能累及肺外部位。肺外结核病可能胸部X线片表现正常，这常常造成重大的诊断困境。本综述描述了肺外结核病的主要受累部位，并通过局部影像学实例进行说明。（注：原文中“caused by ”和“disseminates haematogenously from an active primary lung focus and may affect extra-pulmonary sites in up to 15% of patients.”前缺失关键信息）