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一名印度男性颈部、纵隔及腋窝淋巴结原发性利福平单耐药结核病:首例此类病例

Primary Rifampicin Mono-Resistant Tuberculosis of the Cervical, Mediastinal, and Axillary Lymphadenopathy in an Indian Male: A First-of-Its-Type Case.

作者信息

Yadav Sankalp

机构信息

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

出版信息

Cureus. 2024 Apr 18;16(4):e58565. doi: 10.7759/cureus.58565. eCollection 2024 Apr.

Abstract

Tuberculosis is common in endemic countries. However, extrapulmonary tuberculosis is relatively rare, and primary extrapulmonary rifampicin mono-resistant tuberculosis of the cervical, mediastinal, and axillary lymph nodes simultaneously without pulmonary focus in an immunocompetent male has never been reported. Herein is a case of a 27-year-old Indian male with no previous history of tuberculosis who was diagnosed after an extensive clinical assessment with a radiometric and cartridge-based nucleic acid amplification assay of the swollen lymph nodes. He was put on antituberculous treatment per the all-oral longer regimen of the national program.

摘要

结核病在流行国家很常见。然而,肺外结核病相对少见,且在免疫功能正常的男性中,同时出现颈部、纵隔和腋窝淋巴结原发性肺外利福平单耐药结核病且无肺部病灶的情况从未有过报道。本文报告一例27岁的印度男性,既往无结核病病史,经广泛临床评估及对肿大淋巴结进行放射性和基于试剂盒的核酸扩增检测后确诊。他按照国家项目的全口服长疗程方案接受了抗结核治疗。

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