Uthman I, Bizri A R, Hajj Ali R, Haraoui B
Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Lebanon.
J Infect. 1998 Sep;37(2):196-8. doi: 10.1016/s0163-4453(98)80181-3.
A 77-year-old woman with a seropositive nodular rheumatoid arthritis and vasculitis, who was treated with high doses of corticosteroids and intravenous cyclophosphamide, developed miliary tuberculosis that was heralded by a tenosynovitis in her right wrist. A 1-year course of anti-tuberculous therapy resulted in complete resolution of the tenosynovitis and disseminated infection.
一名77岁血清阳性结节性类风湿关节炎和血管炎女性患者，接受高剂量皮质类固醇和静脉注射环磷酰胺治疗，出现粟粒性结核，首发症状为右手腕腱鞘炎。为期1年的抗结核治疗使腱鞘炎和播散性感染完全消退。
