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.
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.
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。
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