一名慢性肾脏病患者出现的罕见的肺外结核表现。
A rare extrapulmonary manifestation of tuberculosis in a chronic kidney disease patient.
作者信息
Sivanandam Lokesh Koumar, Jhoond Manpreet Kaur, Sujanyal Saurabh Ashok, Sridhar Shreya, Nasser Nathalie, Sanker Vivek, Gupta Umang
机构信息
Sri Lakshmi Narayana Institute of Medical Sciences Puducherry India.
Team Erevnites Trivandrum India.
出版信息
Clin Case Rep. 2023 Aug 28;11(9):e7807. doi: 10.1002/ccr3.7807. eCollection 2023 Sep.
KEY CLINICAL MESSAGE
Chronic kidney disease (CKD) and tuberculoma are two distinct medical conditions. Nonetheless, they can be related in very rare cases. The purpose of this case report is to consider screening tests such as IGRA (interferon gamma release assay) and TST (tuberculin skin test), for tuberculosis in CKD patients with a risk of infection, thereby increasing the awareness of tuberculoma in CKD and ensuring early treatment which would eventually decrease the morbidity and mortality rates in such patients.
ABSTRACT
Chronic kidney disease (CKD) associated with tuberculoma represents one of the rarest conditions occurring worldwide. Among tuberculous patients, only 1% show central nervous system involvement. We present a case of a 45-year-old male with CKD who presented with a seizure and was diagnosed to have tuberculoma.
关键临床信息
慢性肾脏病（CKD）和结核瘤是两种不同的病症。然而，在极为罕见的情况下它们可能存在关联。本病例报告的目的是考虑对有感染风险的CKD患者进行诸如IGRA（干扰素γ释放试验）和TST（结核菌素皮肤试验）等结核病筛查测试，从而提高对CKD患者中结核瘤的认识，并确保早期治疗，最终降低此类患者的发病率和死亡率。
摘要
与结核瘤相关的慢性肾脏病（CKD）是全球范围内最罕见的病症之一。在结核病患者中，仅有1%出现中枢神经系统受累。我们报告一例45岁患有CKD的男性患者，该患者出现癫痫发作，被诊断为患有结核瘤。
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