Kim K I, Lee J W, Park J H, Kim S Y, Park H J, Choi P J, Lee K N, Kim H J, Lee S H
Department of Radiology, Pusan National University Hospital, Pusan National University, 1-10, Ami-dong, Seo-gu, Pusan 602-739, South Korea.
Pediatr Radiol. 1998 Nov;28(11):836-40. doi: 10.1007/s002470050477.
Clinical, radiographic (n = 5) and CT findings (n = 4) of five Korean infants ranging in age from 2 to 3 months with confirmed tuberculosis were retrospectively analysed. All of the patients were symptomatic, anergic to tuberculin, and had a positive culture of Mycobacterium tuberculosis in gastric aspirates. The probable source of infection was the hospital in which they were born. CT scans demonstrated hilar and mediastinal lymph node enlargement with central low attenuation and peripheral enhancement in all cases. CT may be useful in diagnosis by demonstrating characteristic adenopathy and disseminated disease in young infants.
对5例年龄在2至3个月、确诊为结核病的韩国婴儿的临床、影像学(n = 5)和CT表现(n = 4)进行了回顾性分析。所有患者均有症状,对结核菌素无反应,且胃抽吸物中结核分枝杆菌培养呈阳性。可能的感染源是他们出生的医院。CT扫描显示所有病例均有肺门和纵隔淋巴结肿大,中央低密度,周边强化。CT通过显示幼儿特征性的淋巴结病和播散性疾病,可能有助于诊断。