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一名广泛型肺结核患者发生心脏骤停。

Cardiac Arrest in an Extensive Pulmonary Tuberculosis Patient.

作者信息

Zora Vancy

机构信息

Internal Medicine, Indiana University (IU) Health Ball Memorial Hospital, Muncie, USA.

出版信息

Cureus. 2021 Jun 30;13(6):e16057. doi: 10.7759/cureus.16057. eCollection 2021 Jun.

DOI:10.7759/cureus.16057
PMID:34336529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8321424/
Abstract

Tuberculosis (TB) disease affects a large population worldwide but is often missed. Early diagnosis can be challenging at times due to failure to include TB in the differential diagnoses. Tuberculosis is a treatable disease but it can lead to undesirable consequences if left untreated. Here we report a case of a young Guatemalan woman presented with respiratory failure and extensive lung opacification on imaging who went into cardiac arrest. Post resuscitation, workup was significant for (TB) on sputum smear. Despite appropriate treatment, she expired. The aim of this paper is to summarize TB complications that directly contribute to mortality as many clinicians do not consider TB as an immediate cause of death.

摘要

结核病在全球影响着大量人口，但常常被漏诊。由于在鉴别诊断中未将结核病纳入考虑，早期诊断有时具有挑战性。结核病是一种可治疗的疾病，但如果不治疗，可能会导致不良后果。在此，我们报告一例年轻的危地马拉女性病例，该患者出现呼吸衰竭，影像学检查显示肺部广泛浑浊，随后发生心脏骤停。复苏后，痰涂片检查发现（结核病）呈阳性。尽管进行了适当治疗，她仍不幸去世。本文的目的是总结直接导致死亡的结核病并发症，因为许多临床医生并不认为结核病是直接死因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/da1f7cf8bf61/cureus-0013-00000016057-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/73b0c5fba4b7/cureus-0013-00000016057-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/8e3ace3e771d/cureus-0013-00000016057-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/da1f7cf8bf61/cureus-0013-00000016057-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/73b0c5fba4b7/cureus-0013-00000016057-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/8e3ace3e771d/cureus-0013-00000016057-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf59/8321424/da1f7cf8bf61/cureus-0013-00000016057-i03.jpg

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本文引用的文献

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Sudden death caused by pulmonary fat embolism in a patient with miliary tuberculosis.粟粒性肺结核患者因肺脂肪栓塞导致的猝死。
Autops Case Rep. 2019 Jan 14;9(1):e2018059. doi: 10.4322/acr.2018.059. eCollection 2019 Jan-Mar.
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Cardiac arrest among patients with infections: causes, clinical practice and research implications.感染患者的心脏骤停：病因、临床实践和研究意义。
Clin Microbiol Infect. 2017 Oct;23(10):730-735. doi: 10.1016/j.cmi.2016.11.018. Epub 2016 Nov 27.
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Case report: Sudden cardiac death in a young man.病例报告：一名年轻男性的心脏性猝死
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