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颈部淋巴结：一例报告。

of the cervical lymph nodes: A case report.

作者信息

Peng Ling, Ma Rong, Li Yong, Cheng Jie

机构信息

Department of Tuberculosis, Anhui Provincial Chest Hospital, Hefei 230022, Anhui Province, China.

出版信息

World J Clin Cases. 2024 Jul 6;12(19):3995-4002. doi: 10.12998/wjcc.v12.i19.3995.

DOI:10.12998/wjcc.v12.i19.3995
PMID:38994281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11235456/
Abstract

BACKGROUND

Owing to the advancement in bacterial identification techniques, the detection rate of non- (NTM) has been on the rise. Different from , the clinical symptoms of NTM are not easily detected, and the clinical efficacy and prognosis are somewhat heterogeneous. To report a case of of cervical lymph node diagnosed in Anhui Chest Hospital in July 2022.

CASE SUMMARY

Upon examination, the patient who weighed 67.5 kg, was human immunodeficiency virus negative, healthy, without hypertension, diabetes, heart disease and other basic diseases microscopic analysis revealed granulomatous inflammation with coagulation necrosis in the lymphocyte, and tuberculosis was not ruled out. Plain computed tomography scans of the neck and chest indicated the presence of a single grayish-yellow and grayish-brown tissue, the dimensions of which was top of form 10.5 cm × 3.0 cm × 1.5 cm. After pathological consultation in our hospital, the diagnosis was confirmed as NTM infection.

CONCLUSION

This case report and the clinical epidemiological research on improving NTM have important guiding significance for improving decision-making in clinical treatments.

摘要

背景

由于细菌鉴定技术的进步，非结核分枝杆菌（NTM）的检出率一直在上升。与[此处原文缺失相关内容]不同，NTM的临床症状不易被察觉，临床疗效和预后也存在一定异质性。报告1例2022年7月在安徽胸科医院确诊的颈部淋巴结NTM病例。

病例摘要

经检查，该患者体重67.5千克，人类免疫缺陷病毒阴性，身体健康，无高血压、糖尿病、心脏病等基础疾病。显微镜分析显示淋巴细胞中有肉芽肿性炎症伴凝固性坏死，不排除结核病。颈部和胸部的普通计算机断层扫描显示存在一个灰黄色和灰褐色的单一组织，其尺寸为10.5厘米×3.0厘米×1.5厘米。经我院病理会诊，确诊为NTM感染。

结论

本病例报告及关于NTM的临床流行病学研究对改善临床治疗决策具有重要指导意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/a013668b0907/WJCC-12-3995-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/a112641b4925/WJCC-12-3995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/7fa8a51261d6/WJCC-12-3995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/632c24196e83/WJCC-12-3995-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/87059c9eaef5/WJCC-12-3995-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/e65863ae8447/WJCC-12-3995-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/3f74632c42e9/WJCC-12-3995-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/a013668b0907/WJCC-12-3995-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/a112641b4925/WJCC-12-3995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/7fa8a51261d6/WJCC-12-3995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/632c24196e83/WJCC-12-3995-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/87059c9eaef5/WJCC-12-3995-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/e65863ae8447/WJCC-12-3995-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/3f74632c42e9/WJCC-12-3995-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45e/11235456/a013668b0907/WJCC-12-3995-g007.jpg

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