Ahsan N, Blanchard R L, Mai M L
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, USA.
Clin Transplant. 1995 Aug;9(4):349-52.
The pattern of tuberculosis has changed and in recent years: extrapulmonary tuberculosis has become more common, especially in immuno-compromised individuals. A case of primary intestinal tuberculosis in a patient with kidney transplant is reported. The patient presented with persistent fever and right-sided abdominal pain. Histopathology of colonic tissue showed granulomatous inflammation containing acid fast bacilli, and culture of the tissue grew Mycobacterium tuberculosis. Clinical improvement occurred after institution of appropriate anti-tubercular treatment.
近年来,结核病的模式发生了变化:肺外结核变得更加常见,尤其是在免疫功能低下的个体中。本文报道了一例肾移植患者的原发性肠结核病例。该患者表现为持续发热和右侧腹痛。结肠组织的组织病理学显示含有抗酸杆菌的肉芽肿性炎症,组织培养培养出结核分枝杆菌。给予适当的抗结核治疗后临床症状改善。