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原发性播散性肺部、胸膜、胸壁和腹部广泛耐药结核病:世界首例病例。

Primary Disseminated Pre-extensively Drug-Resistant Tuberculosis of the Lungs, Pleura, Chest Wall, and Abdomen: The World's First Case.

作者信息

Yadav Sankalp

机构信息

Medicine, Shri Madan Lal Khurana Chest Clinic, Moti Nagar, New Delhi, IND.

出版信息

Cureus. 2023 Jul 21;15(7):e42281. doi: 10.7759/cureus.42281. eCollection 2023 Jul.

DOI:10.7759/cureus.42281
PMID:37609098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10440398/
Abstract

Drug-resistant tuberculosis is a perpetual threat to public health. In recent years, there has been an increase in the number of cases of this deadly infection. The present case is a very rare case of primary disseminated pre-extensively drug-resistant tuberculosis of the lungs, pleura, chest wall, and abdomen in a 19-year-old Indian female patient who presented with fever, cough, abdominal pain, and anterior chest wall swelling. The diagnosis was established by a detailed laboratory and radiological workup. An all-oral longer regimen was initiated per national guidelines and according to her weight.

摘要

耐药结核病对公众健康构成持续威胁。近年来,这种致命感染的病例数量有所增加。本病例是一名19岁印度女性患者,极其罕见地出现了肺部、胸膜、胸壁和腹部的原发性播散性广泛耐药前结核病,表现为发热、咳嗽、腹痛和前胸壁肿胀。通过详细的实验室和影像学检查确诊。根据国家指南并按照她的体重,启动了全口服的较长疗程治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/1c681f6c23c1/cureus-0015-00000042281-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/39a7842d6805/cureus-0015-00000042281-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/60cbabc33950/cureus-0015-00000042281-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/02bd704be228/cureus-0015-00000042281-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/1c681f6c23c1/cureus-0015-00000042281-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/39a7842d6805/cureus-0015-00000042281-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/60cbabc33950/cureus-0015-00000042281-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/02bd704be228/cureus-0015-00000042281-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/10440398/1c681f6c23c1/cureus-0015-00000042281-i04.jpg

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Cureus. 2023 Jul 3;15(7):e41302. doi: 10.7759/cureus.41302. eCollection 2023 Jul.
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WHO's Global Tuberculosis Report 2022.世界卫生组织《2022年全球结核病报告》。
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