Homann C, Godtfredsen N S, Clementsen P S
Medicinsk-lungemedicinsk afdeling, Amtssygehuset i Gentofte.
Ugeskr Laeger. 1997 Sep 22;159(39):5804-5.
Since the symptoms and clinical presentation of intestinal tuberculosis is nonspecific, the diagnosis is frequently delayed and may be achieved at autopsy only. Intestinal tuberculosis is very rare in Denmark, but may now be seen more often because of increasing numbers of immigrants from countries of the third world with a high prevalence of tuberculosis. A case of intestinal tuberculosis in a 28 year old Somalian female is reported. Methods of diagnosing intestinal tuberculosis are commented, and the frequent necessity of starting medical treatment before a bacteriological diagnosis is reached is emphasized.
由于肠结核的症状和临床表现缺乏特异性,诊断常常延迟,有时只能在尸检时才能确诊。肠结核在丹麦非常罕见,但由于来自结核病高发的第三世界国家的移民数量不断增加,现在可能更常见了。本文报告了一例28岁索马里女性的肠结核病例。文中对肠结核的诊断方法进行了评论,并强调了在获得细菌学诊断之前往往需要开始药物治疗的必要性。