关键词: cbnaat/ xpert/ rif assay disseminated tuberculosis left sided pleural effusion lungs mediastinal lymphadenopathy mtb (mycobacterium tuberculosis) pericardial effusion pleura pleural effusion

来  源:   DOI:10.7759/cureus.45562   PDF(Pubmed)

Abstract:
Tuberculosis is mainly known to affect the lungs, but it can manifest at various extrapulmonary sites. Disseminated tuberculosis is a relatively rare clinical condition, and cases with no history of the disease are sparse. A case of an 18-year-old Indian male is presented. He came with complaints of chest pain, coughing with expectoration, and loss of appetite. The diagnostic workup led to a definite diagnosis of disseminated tuberculosis with involvement of the lungs, pleura, mediastinal lymph nodes, and pericardium. He was initiated on a fixed-dose anti-tubercular treatment per the national guidelines.
摘要:
已知结核病主要影响肺部,但它可以在不同的肺外部位表现出来。播散性肺结核是一种相对罕见的临床疾病,无病史的病例稀少。介绍了一例18岁的印度男性。他带着胸痛的抱怨来了,咳嗽咳痰,和食欲不振。诊断检查导致明确诊断为累及肺部的播散性结核病,胸膜,纵隔淋巴结,和心包.根据国家指南,他开始接受固定剂量的抗结核治疗。
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