Wang Xiuming, Luan Haomei, Zhang Zheyuan, Zhang Huabin
Department of Ultrasound, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, CHN.
Cureus. 2024 Aug 6;16(8):e66330. doi: 10.7759/cureus.66330. eCollection 2024 Aug.
Tuberculosis (TB) is a preventable and curable disease. TB characteristically causes lung infections, giving rise to pulmonary TB. Many extra-pulmonary organs, including soft tissues, may also be affected, often resulting in non-specific clinical features that make disease diagnosis difficult. We present the case of a 28-year-old male who presented with a soft tissue mass in the left neck accompanied by local redness and tenderness for several months. Despite initially erroneous clinical judgment and imaging diagnosis, the progression of the patient's disease combined with a series of laboratory tests led to the diagnosis of soft tissue TB. After routine anti-TB treatment, the patient's condition gradually recovered. This case highlights that when faced with atypical soft tissue lesions, physicians should maintain a high level of TB suspicion to avoid delaying the treatment of the patient's disease and producing a poor prognosis.
结核病(TB)是一种可预防且可治愈的疾病。结核病的典型特征是引起肺部感染,进而导致肺结核。许多肺外器官,包括软组织,也可能受到影响,常常导致非特异性临床特征,使疾病诊断困难。我们报告一例28岁男性病例,该患者左侧颈部出现软组织肿块,并伴有局部红肿和压痛数月。尽管最初临床判断和影像诊断有误,但患者病情进展并结合一系列实验室检查后确诊为软组织结核。经过常规抗结核治疗,患者病情逐渐康复。该病例强调,面对非典型软组织病变时,医生应高度怀疑结核病,以免延误患者病情治疗并导致预后不良。