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新型冠状病毒肺炎与肺结核——诊断难题

COVID-19 and pulmonary tuberculosis - A diagnostic dilemma.

作者信息

Biswas Som Subhro, Awal Sandeep Singh, Awal Sampreet Kaur

机构信息

Department of Radiology, Radiance Teleradiology Services, Navi Mumbai, India.

Department of Radiology, Jeevandeep Diagnostics, Jamshedpur, India.

出版信息

Radiol Case Rep. 2021 Nov;16(11):3255-3259. doi: 10.1016/j.radcr.2021.07.079. Epub 2021 Aug 2.

DOI:10.1016/j.radcr.2021.07.079
PMID:34367387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8326013/
Abstract

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Meanwhile, pulmonary tuberculosis(TB) is one of the most common infective lung diseases in developing nations. The concurrence of pulmonary TB and COVID-19 can lead to poor prognosis, owing to the pre-existing lung damage caused by TB. Case presentation: We describe the imaging findings in 3 cases of COVID-19 pneumonia with co-existing pulmonary TB on HRCT thorax. The concurrence of COVID-19 and pulmonary TB can be a diagnostic dilemma. Correct diagnosis and prompt management is imperative to reduce mortality and morbidity. Hence it is pertinent for imaging departments to identify and report these distinct entities when presenting in conjunction.

摘要

2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的一种传染病。同时,肺结核(TB)是发展中国家最常见的肺部感染性疾病之一。由于肺结核造成的肺部原有损伤,肺结核与COVID-19并发会导致预后不良。病例报告:我们描述了3例COVID-19肺炎合并肺结核患者胸部高分辨率CT(HRCT)的影像学表现。COVID-19与肺结核并发可能会造成诊断难题。正确诊断和及时治疗对于降低死亡率和发病率至关重要。因此,影像科在二者同时出现时识别并报告这些不同的病症很有必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/fd5f1a821b3c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/1ec4dddd8411/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/7b06ab778f55/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/fd5f1a821b3c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/1ec4dddd8411/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/7b06ab778f55/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e73b/8403708/fd5f1a821b3c/gr3.jpg

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