Numata M, Nishikawa M, Kudo M, Kaneko T, Ikeda H, Okubo T, Rino Y, Kitamura H
First Department of Internal Medicine, Yokohama City University School of Medicine, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Nov;33(11):1270-5.
A 31-year-old woman was admitted to our hospital because of cervical and axillar lymph node swelling. A chest X-ray film showed many nodular shadows and a cavity in the left upper lung field. The tuberculin test was positive. Transbronchial lung biopsy and cervical lymph node biopsy were done. Examination of the biopsy specimens revealed epithelial granulomas with caseous necrosis. Thus, pulmonary tuberculosis with systemic lymph node swelling was diagnosed. Examinations during the patient's hospital stay showed that she was not an immunocompromised host. Pulmonary tuberculosis with systemic lymph node swelling occurs only rarely in a non-immunocompromised host.
一名31岁女性因颈部和腋窝淋巴结肿大入院。胸部X线片显示左上肺野有许多结节状阴影及一个空洞。结核菌素试验呈阳性。进行了经支气管肺活检和颈部淋巴结活检。活检标本检查显示上皮样肉芽肿伴干酪样坏死。因此，诊断为伴有全身淋巴结肿大的肺结核。患者住院期间的检查表明她并非免疫功能低下宿主。伴有全身淋巴结肿大的肺结核在非免疫功能低下宿主中极为罕见。
