一名34岁颈部肿物男性患者。

A 34-Year-Old Man With a Neck Mass.

作者信息

Phiri Tamara, van Oosterhout Joep, Kampondeni Samuel, Allain Theresa, Mwandumba Henry C

机构信息

Department of Medicine, University of Malawi College of Medicine, Blantyre, Malawi.

Department of Medicine, University of Malawi College of Medicine, Blantyre, Malawi; Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, England.

出版信息

Chest. 2022 Mar;161(3):e145-e148. doi: 10.1016/j.chest.2021.09.026.

DOI:10.1016/j.chest.2021.09.026

PMID:35256087

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8941597/

Abstract

A 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.

摘要

一名34岁男性因右侧颈部多个淋巴结肿大就诊于马拉维布兰太尔的伊丽莎白女王中央医院。他没有相关的全身症状。其中一个淋巴结的细针穿刺抽吸物（FNA）经涂片显微镜检查抗酸杆菌（AFB）呈阴性。FNA标本未送去做组织学检查。当时无法进行分枝杆菌培养和Xpert MTB/RIF检测。他的HIV检测呈阳性，但在HIV诊断时未检测CD4 T细胞计数，并且在淋巴结病病因确诊之前他未开始抗逆转录病毒治疗（ART）。计划对淋巴结进行切除活检；然而，在手术前该患者失访。