[胸壁结核：马达加斯加塔那那利佛约瑟夫·拉沃阿杭伊·安德里亚纳瓦洛纳教学医院1例报告]
[Tuberculosis of the chest wall: Report of a case at the Joseph Ravoahangy Andrianavalona Teaching Hospital, Antananarivo, Madagascar].
作者信息
Rakotorahalahy R N A L, Randrianandrasana S, Rajaobelison T, Ralaivao R A, Ramiliarijaona L, Rakotoarisoa A J C
机构信息
Service de chirurgie cardio-vasculaire, Centre hospitalier universitaire Joseph Ravoahangy Andrianavalona, Ampefiloha, BP 4150,101 Antananarivo Madagascar.
Service d'anatomie pathologique du Centre hospitalier universitaire Joseph Ravoahangy Andrianavalona, Ampefiloha, BP 4150,101 Antananarivo Madagascar.
出版信息
Med Trop Sante Int. 2021 Sep 23;1(3). doi: 10.48327/mtsibulletin.2021.154. eCollection 2021 Sep 30.
BACKGROUND/RATIONALE: Tuberculosis is a public health issue. Extra-pulmonary presentations are rare and sometimes hard to diagnose and manage. Here, we report a case of tuberculosis of the chest wall in a 28-year-old man in order to discuss the mechanism, diagnostic and therapeutic problems posed by this rare localization.
DESCRIPTION
The patient presented with wall swelling discovered after physical effort. Imaging was in favor of an abscess or infected hematoma. The excisional surgery established the tuberculous origin which was confirmed by histology. Anti-tuberculosis treatment during 9 months completed the surgical treatment and led to the patient's recovery.
DISCUSSION/CONCLUSION: The rarity of this localization of tuberculosis should be investigated. Etiological treatment must be instituted and regular monitoring scheduled to avoid recurrence.
CONCLUSION
Direct-acting antivirals are effective and characterized by good tolerance in these Malagasy hepatitis C patients.
背景/基本原理：结核病是一个公共卫生问题。肺外表现罕见，有时难以诊断和处理。在此，我们报告一例28岁男性胸壁结核病例，以探讨这种罕见部位所带来的发病机制、诊断及治疗问题。
描述
患者在体力活动后发现胸壁肿胀。影像学检查提示为脓肿或感染性血肿。切除手术确定了结核起源，组织学检查予以证实。9个月的抗结核治疗完成了手术治疗并使患者康复。
讨论/结论：应研究这种结核部位的罕见性。必须进行病因治疗并安排定期监测以避免复发。
结论
直接作用抗病毒药物在这些马达加斯加丙型肝炎患者中有效且耐受性良好。
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