Jensenius M, Bergmann A, Rø J, Meling G I, Nyhus S, Sauer T, Scheel B
Medisinsk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1995 Nov 10;115(27):3365-8.
The incidence of tuberculous disease is increasing all over the world, mostly in the poor, developing countries, but also in some industrialized countries. In Norway, extrapulmonary tuberculosis is a rare phenomenon. It is found mostly among older Norwegians and in younger immigrants from the third world. Since the disease is rare, it may be overlooked or confused with malignant disease. We describe two patients with unusual forms of extrapulmonary tuberculosis, both mimicking neoplastic disease. The first patient was a 27-year-old woman from South-East Asia, who was operated on for suspected intraductal comedo-type carcinoma of the breast, but histological examination showed tuberculous mastitis. The second patient was a 26-year-old man from East Africa with a medical history indicating intra-abdominal lymphoma. The final diagnosis, however, was mesenteric tuberculous lymphadenitis. Both patients were treated successfully with isoniazid, rifampicin and pyrazinamide.
结核病的发病率在全球范围内都在上升，主要发生在贫穷的发展中国家，但在一些工业化国家也有出现。在挪威，肺外结核是一种罕见的现象。它主要见于年长的挪威人以及来自第三世界的年轻移民。由于这种疾病较为罕见，可能会被忽视或与恶性疾病相混淆。我们描述了两名患有不寻常形式肺外结核的患者，他们的症状都酷似肿瘤性疾病。第一名患者是一名来自东南亚的27岁女性，因疑似乳腺导管内粉刺样癌接受了手术，但组织学检查显示为结核性乳腺炎。第二名患者是一名来自东非的26岁男性，有腹腔淋巴瘤的病史。然而，最终诊断为肠系膜结核性淋巴结炎。两名患者均接受异烟肼、利福平和吡嗪酰胺治疗并获成功。
