• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

播散性结核病中的漏出性或隐匿性渗出性多浆膜炎？一例报告。

Transudative or masked exudative polyserositis in disseminated tuberculosis? A case report.

作者信息

Dhakal Bishal, K C Prabhat, Sapkota Sachin, Subedi Binaya, Acharya Apshara, Pandey Suvekchya, Thapa Dilip

机构信息

Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal.

Maulakalika Hospital Pvt. Ltd., Bharatpur, 10-Chitwan, Nepal.

出版信息

Ann Med Surg (Lond). 2022 May 31;78:103891. doi: 10.1016/j.amsu.2022.103891. eCollection 2022 Jun.

DOI:10.1016/j.amsu.2022.103891
PMID:35734705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9207084/
Abstract

INTRODUCTION

Polyserositis in disseminated tuberculosis (TB) is an uncommon presentation. The exudative nature of effusion in disseminated TB can be masked by presence of malnutrition due TB.

CASE PRESENTATION

A 24-year-old female, diagnosed with disseminated TB, developed polyserositis with transudative nature of fluid. She was treated with anti-tubercular therapy (ATT).

CLINICAL DISCUSSION

Polyserositis, though an uncommon presentation in disseminated TB, was the clinical manifestation in our case. But transudative nature of the fluid was an unexpected finding. Hypoalbuminemia as a result of malnutrition due to TB was the cause for masking exudative effusion in TB.

CONCLUSIONS

Hypoalbuminemia as a result of malnutrition due to TB can be the reason for transudative nature of effusion in polyserositis.

摘要

引言

播散性结核病（TB）中的多浆膜炎是一种不常见的表现。由于结核病导致的营养不良会掩盖播散性结核病中渗出液的性质。

病例报告

一名24岁女性，被诊断为播散性结核病，出现了具有漏出液性质的多浆膜炎。她接受了抗结核治疗（ATT）。

临床讨论

多浆膜炎虽然在播散性结核病中是一种不常见的表现，但却是我们病例中的临床表现。但液体的漏出液性质是一个意外发现。由于结核病导致的营养不良引起的低白蛋白血症是掩盖结核病中渗出性积液的原因。

结论

由于结核病导致的营养不良引起的低白蛋白血症可能是多浆膜炎中积液漏出液性质的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/bc4e0b057279/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/f571cfd99512/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/24aa9f02253c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/164ddac17f7e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/ee656808dd27/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/bc4e0b057279/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/f571cfd99512/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/24aa9f02253c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/164ddac17f7e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/ee656808dd27/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa4/9207084/bc4e0b057279/gr5.jpg

相似文献

1
Transudative or masked exudative polyserositis in disseminated tuberculosis? A case report.播散性结核病中的漏出性或隐匿性渗出性多浆膜炎？一例报告。
Ann Med Surg (Lond). 2022 May 31;78:103891. doi: 10.1016/j.amsu.2022.103891. eCollection 2022 Jun.
2
Polyserositis caused by tuberculosis in a young female patient with hypothyroidism: A diagnostic challenge.一名患有甲状腺功能减退症的年轻女性患者的结核性多浆膜炎：诊断挑战。
Clin Case Rep. 2023 Aug 21;11(8):e7817. doi: 10.1002/ccr3.7817. eCollection 2023 Aug.
3
The role of pleural fluid thiol/disulphide homoeostasis in the differentiation between transudative and exudative pleural effusions.胸腔液硫醇/二硫键动态平衡在区分渗出性和漏出性胸腔积液中的作用。
Int J Clin Pract. 2021 Apr;75(4):e14051. doi: 10.1111/ijcp.14051. Epub 2021 Feb 5.
4
Role of pleural fluid cholesterol in differentiating transudative from exudative pleural effusion.胸腔积液胆固醇在鉴别漏出性胸腔积液与渗出性胸腔积液中的作用。
Natl Med J India. 2003 Mar-Apr;16(2):64-9.
5
Diagnostic Accuracy of Thoracic Ultrasonography to Differentiate Transudative From Exudative Pleural Effusion.胸腔超声对胸水中渗出液与漏出液的鉴别诊断准确性。
Chest. 2020 Aug;158(2):692-697. doi: 10.1016/j.chest.2020.02.051. Epub 2020 Mar 17.
6
Pleural Fluid Serum Bilirubin Ratio for Differentiating Exudative and Transudative Effusions.用于鉴别渗出液和漏出液的胸水-血清胆红素比值
JNMA J Nepal Med Assoc. 2018 Mar-Apr;56(211):662-665.
7
Comparative study of penetration of lomefloxacin and ceftriaxone into transudative and exudative pleural effusion.洛美沙星与头孢曲松在漏出液和渗出液中渗透情况的对比研究。
Antimicrob Agents Chemother. 1992 Dec;36(12):2774-7. doi: 10.1128/AAC.36.12.2774.
8
Improving the yield of diagnostic medical thoracoscopy for undiagnosed exudative pleural effusions using a rigid diagnostic algorithm.采用刚性诊断算法提高不明渗出性胸腔积液诊断性内科胸腔镜检查的产量。
Int J Mycobacteriol. 2021 Oct-Dec;10(4):405-410. doi: 10.4103/ijmy.ijmy_214_21.
9
Transudative pleural effusion as an initial presentation of a disseminated cryptococcosis infection in a HIV-negative patient with cirrhosis.渗出性胸腔积液作为一名肝硬化HIV阴性患者播散性隐球菌感染的初始表现。
Med Mycol Case Rep. 2021 Sep 6;34:18-21. doi: 10.1016/j.mmcr.2021.08.007. eCollection 2021 Dec.
10
Vascular endothelial growth factor levels in tuberculosis: A systematic review and meta-analysis.结核中的血管内皮生长因子水平：系统评价和荟萃分析。
PLoS One. 2022 May 25;17(5):e0268543. doi: 10.1371/journal.pone.0268543. eCollection 2022.

本文引用的文献

1
Extrapulmonary tuberculosis.肺外结核。
Expert Rev Respir Med. 2021 Jul;15(7):931-948. doi: 10.1080/17476348.2021.1927718. Epub 2021 Jul 14.
2
Anemia in tuberculosis cases: A biomarker of severity?结核病患者的贫血：严重程度的生物标志物？
PLoS One. 2021 Feb 2;16(2):e0245458. doi: 10.1371/journal.pone.0245458. eCollection 2021.
3
Review of literature on disseminated tuberculosis with emphasis on the focused diagnostic workup.关于播散性肺结核的文献综述，重点在于有针对性的诊断检查。
J Family Community Med. 2019 May-Aug;26(2):83-91. doi: 10.4103/jfcm.JFCM_106_18.
4
Epidemiology of extrapulmonary and disseminated tuberculosis in a tertiary care center in Oman.阿曼一家三级医疗中心肺外及播散性结核病的流行病学
Int J Mycobacteriol. 2017 Apr-Jun;6(2):162-166. doi: 10.4103/ijmy.ijmy_31_17.
5
Pleural effusion: diagnosis, treatment, and management.胸腔积液：诊断、治疗与管理
Open Access Emerg Med. 2012 Jun 22;4:31-52. doi: 10.2147/OAEM.S29942. eCollection 2012.
6
Hypoalbuminemia and lymphocytopenia are predictive risk factors for in-hospital mortality in patients with tuberculosis.低白蛋白血症和淋巴细胞减少是结核病患者院内死亡的预测风险因素。
Intern Med. 2013;52(4):439-44. doi: 10.2169/internalmedicine.52.8158. Epub 2013 Feb 15.
7
Tuberculosis mesenteric adenopathy and polyserositis.肠系膜淋巴结结核和多发性浆膜炎。
Rom J Morphol Embryol. 2012;53(3 Suppl):835-40.
8
Disseminated tuberculosis: interesting hematological observations.播散性肺结核：有趣的血液学观察结果。
J Assoc Physicians India. 2010 Apr;58:243-4.
9
The mechanisms and consequences of the extra-pulmonary dissemination of Mycobacterium tuberculosis.结核分枝杆菌肺外播散的机制和后果。
Tuberculosis (Edinb). 2010 Nov;90(6):361-6. doi: 10.1016/j.tube.2010.08.005. Epub 2010 Sep 9.
10
Disseminated tuberculosis: a 10-year experience in a medical center.播散性肺结核：一家医疗中心的10年经验
Medicine (Baltimore). 2007 Jan;86(1):39-46. doi: 10.1097/MD.0b013e318030b605.