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食管结核的一种不寻常表现:病例报告

An Unusual Presentation of Esophageal Tuberculosis: A Case Report.

作者信息

Zahra Tafseer, Ravikumar Yuvapriya, Voloshyna Diana, Shams Yumna, Shaik Tanveer Ahamad, Sandhu Qudsia I, Sahtiya Saveeta, Saleem Faraz, Ghaffari Muhammad Abu Zar

机构信息

Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Internal Medicine, Krishna Institute of Medical Sciences, Karad, IND.

出版信息

Cureus. 2022 Sep 27;14(9):e29642. doi: 10.7759/cureus.29642. eCollection 2022 Sep.

DOI:10.7759/cureus.29642
PMID:36320941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9608034/
Abstract

The lungs, kidneys, liver, and pancreas are just some of the organs that can be affected by tuberculosis. Tuberculosis is a disease that can affect many organs of the human body. Rarely can tuberculosis (TB) manifest itself in the digestive tract; in fact, the gastrointestinal tract ranks as the sixth most common site of extrapulmonary TB. However, involvement of the esophagus by tuberculosis is extremely uncommon. We present a case of esophageal tuberculosis in a 27-year-old man with epigastric pain and weight loss as his only symptoms. There were no complaints of odynophagia or dysphagia, nor was there any evidence of immunodeficiency. Upper gastrointestinal endoscopy found an ulcer 26 centimeters from the incisor. Histopathology and a biopsy confirmed the diagnosis of primary esophageal tuberculosis. Six months after beginning anti-TB therapy, he was confirmed to be free of tuberculosis.

摘要

肺、肾、肝和胰腺只是可能受到结核病影响的部分器官。结核病是一种可影响人体许多器官的疾病。结核病很少在消化道表现出来;事实上,胃肠道是肺外结核第六大常见发病部位。然而,食管受结核病累及极为罕见。我们报告一例27岁男性食管结核病例,其唯一症状为上腹部疼痛和体重减轻。患者无吞咽痛或吞咽困难主诉,也没有免疫缺陷证据。上消化道内镜检查发现距门齿26厘米处有一溃疡。组织病理学检查和活检确诊为原发性食管结核。开始抗结核治疗6个月后,证实他已无结核病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/7c482236e0f3/cureus-0014-00000029642-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/76fe4e2e231b/cureus-0014-00000029642-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/555f1bc4572b/cureus-0014-00000029642-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/7c482236e0f3/cureus-0014-00000029642-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/76fe4e2e231b/cureus-0014-00000029642-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/555f1bc4572b/cureus-0014-00000029642-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109d/9608034/7c482236e0f3/cureus-0014-00000029642-i03.jpg

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本文引用的文献

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Primary Esophageal Tuberculosis With Dysphagia.伴有吞咽困难的原发性食管结核
Cureus. 2021 Jul 7;13(7):e16236. doi: 10.7759/cureus.16236. eCollection 2021 Jul.
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Primary Esophageal Tuberculosis Without Dysphagia or Odynophagia in a Patient Without HIV.一名无人类免疫缺陷病毒(HIV)感染的患者出现无吞咽困难或吞咽痛的原发性食管结核
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