[结核病的罕见腹部表现：孤立性脾结核和结核性腹膜炎]

[Rare abdominal manifestations of tuberculosis: isolated splenic tuberculosis and peritoneal tuberculosis].

作者信息

Asamer H, Schur W, Awender H, Schuschnigg C

出版信息

Schweiz Med Wochenschr. 1986 Mar 29;116(13):400-3.

Abstract

Two patients with rare localizations of extrapulmonary tuberculosis are presented. In a 55-year-old man admitted with septic fever and a low neutrophil count, ultrasonography of the spleen revealed splenomegaly with numerous hypodense foci. Fine needle biopsy of one of the foci disclosed tuberculosis. Persistent splenogenic neutropenia and thrombocytopenia, despite tuberculostatic therapy, required splenectomy which confirmed the initial diagnosis. At laparotomy no other abdominal foci of tuberculosis were found. In a second 57-year-old man admitted for ascites and weight loss, a biopsy specimen of the liver showed normal liver parenchyma but, by chance, peritoneal tuberculosis. Tuberculostatic therapy brought about cure.

摘要

本文介绍了两名肺外结核罕见定位的患者。一名55岁男性因败血症发热和中性粒细胞计数低入院，脾脏超声检查显示脾肿大并伴有多个低密度灶。对其中一个病灶进行细针活检，发现为结核病。尽管进行了抗结核治疗，但持续性脾源性中性粒细胞减少和血小板减少仍需要进行脾切除术，这证实了最初的诊断。剖腹手术时未发现其他腹部结核病灶。另一名57岁男性因腹水和体重减轻入院，肝脏活检标本显示肝实质正常，但偶然发现为腹膜结核。抗结核治疗治愈了该患者。