Kondo H, Inoue T, Horiuchi N, Iwata M, Taniguchi K
Department of Internal Medicine, Okawa General Hospital, Kagawa, Japan.
Nihon Kokyuki Gakkai Zasshi. 1998 Oct;36(10):908-12.
A 62-year-old woman was admitted because of a tumor on her right thigh, fever, generalized lymphadenopathy, and diffuse nodular shadows on chest X-ray films. She was given a diagnosis of miliary tuberculosis based on the findings of a cervical lymph-node biopsy and a broncho-alveolar lavage. Acute respiratory failure and disseminated intravascular coagulation developed, but resolved after the start of anti-tuberculous therapy. The tumor on the right thigh was diagnosed as a subcutaneous tuberculous abscess because tuberculous bacilli were detected in tumor tissue samples obtained by aspiration. The patient's fever disappeared and the abnormal shadows on her chest X-ray films receded significantly after drainage of the subcutaneous abscess. These findings suggested that miliary tuberculosis was associated with the subcutaneous tuberculous abscess in this case.
一名62岁女性因右大腿肿瘤、发热、全身淋巴结肿大及胸部X线片上的弥漫性结节阴影入院。根据颈部淋巴结活检和支气管肺泡灌洗结果，她被诊断为粟粒性肺结核。出现了急性呼吸衰竭和弥散性血管内凝血，但在开始抗结核治疗后得到缓解。右大腿的肿瘤被诊断为皮下结核脓肿，因为在通过抽吸获得的肿瘤组织样本中检测到了结核杆菌。皮下脓肿引流后，患者的发热消失，胸部X线片上的异常阴影明显消退。这些发现表明，在该病例中粟粒性肺结核与皮下结核脓肿有关。
