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重新审视瘰疬:移民健康中不可忽视的一种病症

Revisiting Scrofula: An Entity Not to Forget in Migrants' Health.

作者信息

Neves Sara, Videira Santos Fábio

机构信息

Department of Infectious Diseases, Centro Hospitalar Universitário de Santo António, Porto, PRT.

Department of Infectious Diseases, Instituto Português de Oncologia do Porto, Porto, PRT.

出版信息

Cureus. 2023 Jun 5;15(6):e40012. doi: 10.7759/cureus.40012. eCollection 2023 Jun.

Abstract

Tuberculous lymphadenitis (TBL) is one of the most common presentations of extrapulmonary tuberculosis (EPTB). The particularity of this presentation is the difficulty in establishing a definitive diagnosis, as clinical manifestations and imaging may be unspecific. We describe a case of tuberculous cervical lymphadenitis in a young male from Pakistan, a high-burden tuberculosis country. We intend to raise awareness of this entity, given the high index of suspicion required to diagnose it, which can lead to delays in appropriate treatment, potentially increasing the morbidity and mortality of affected patients. Increased awareness is especially important in immigrants, in whom tuberculosis cases continue to increase, exposing the need for easy and equitable access to healthcare. A brief review of the subject is also presented.

摘要

结核性淋巴结炎(TBL)是肺外结核(EPTB)最常见的表现之一。这种表现的特殊性在于难以做出明确诊断,因为临床表现和影像学表现可能不具有特异性。我们描述了一例来自结核病高负担国家巴基斯坦的年轻男性的结核性颈淋巴结炎病例。鉴于诊断该病需要高度怀疑指数,而这可能导致适当治疗的延迟,从而可能增加受影响患者的发病率和死亡率,我们希望提高对该疾病的认识。提高认识在移民中尤为重要,因为移民中的结核病病例持续增加,这凸显了获得便捷和公平医疗服务的必要性。本文还对该主题进行了简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b113/10322669/dd0624ac22e8/cureus-0015-00000040012-i01.jpg

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