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[儿童肺外结核。一家儿科专科医院的病例报告]

[Extrapulmonary tuberculosis in childhood. Case reports from a pediatric specialty hospital].

作者信息

Kurz H, Stögmann W

机构信息

Internen Abteilung, Gottfried von Preyerschen Kinderspitals, Wien.

出版信息

Wien Med Wochenschr. 1994;144(8-9):178-82.

PMID:7941605
Abstract

The immigration of people from countries with high incidence of tuberculosis has led to an increased number of cases of tuberculosis in Austria. The number of cases of extrapulmonary tuberculosis has increased too. The variability of the clinical presentation of extrapulmonary tuberculosis which can affect almost every organ system makes it essential to include it in the differential diagnosis of any infectious disease. Early identification and rapid onset of therapy are most important for recovering without complications and avoidance of longterm sequelae. 9 cases of extrapulmonary tuberculosis in the Gottfried von Preyer Children's hospital from 1989 to 1992 show the different clinical features of this disease. 3 cases of tuberculous lymphadenitis, 1 case of tuberculosis of the adenoids, 1 case of tuberclulous pleurits, 3 cases of gastrointestinal tuberculosis and 1 case of a tuberculous meningitis and osteomyelitis are described. All 9 children recovered with antituberculous treatment without complications or sequelae.

摘要

来自结核病高发国家的人员移民导致奥地利的结核病病例数增加。肺外结核病的病例数也有所增加。肺外结核病临床表现的多样性几乎可影响每个器官系统,这使得在任何传染病的鉴别诊断中都必须考虑到它。早期识别和迅速开始治疗对于无并发症康复及避免长期后遗症最为重要。1989年至1992年在戈特弗里德·冯·普雷耶儿童医院的9例肺外结核病病例显示了该病的不同临床特征。描述了3例结核性淋巴结炎、1例腺样体结核、1例结核性胸膜炎、3例胃肠道结核病以及1例结核性脑膜炎和骨髓炎。所有9名儿童经抗结核治疗后康复,无并发症或后遗症。

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