PDF(Pubmed)
Abstract：
UNASSIGNED: The coronavirus disease 2019 (COVID-19) was first reported in Wuhan, Hubei Province, China. It mainly involves the respiratory system, causing fever, cough, chest tightness, and other symptoms. However, when combined with other common or rare diseases, such as appendicitis and intestinal tuberculosis (TB), it can cause other systemic lesions, thus making the original disease lose its specific clinical manifestations. This case highlights the importance of early identification and clinical precision medicine diagnosis and treatment.
UNASSIGNED: A young woman presented with intermittent pain and discomfort in the right lower quadrant. Ultrasonography suggested appendicitis with a peripheral abscess. The nucleic acid test of COVID-19 was positive, and the chest computed tomography scan showed pulmonary involvement. She was sent for surgery. Postoperative body temperature increased regularly, and the TB T-cell test was positive.
UNASSIGNED: Multiple infections caused by common bacteria, pandemic virus, and specific mycobacterium TB cause a series of nonspecific clinical manifestations, which brings challenges to clinical diagnosis and treatment. Therefore, when facing a complex infection case, the authors should consider the possibility of multiple infections and give targeted treatment for the pathogens.
UNASSIGNED: During the epidemic of COVID-19, the incidence of intestinal TB is relatively low, which is easy to be overlooked and misdiagnosed, especially in the case of appendicitis. Therefore, clinicians must be highly vigilant in the diagnosis process to avoid missed diagnosis or misdiagnosis, so as to provide the best diagnosis and treatment plan.
UNASSIGNED: A young woman presented with intermittent pain and discomfort in the right lower quadrant. Ultrasonography suggested appendicitis with a peripheral abscess. The nucleic acid test of COVID-19 was positive, and the chest computed tomography scan showed pulmonary involvement. She was sent for surgery. Postoperative body temperature increased regularly, and the TB T-cell test was positive.
UNASSIGNED: Multiple infections caused by common bacteria, pandemic virus, and specific mycobacterium TB cause a series of nonspecific clinical manifestations, which brings challenges to clinical diagnosis and treatment. Therefore, when facing a complex infection case, the authors should consider the possibility of multiple infections and give targeted treatment for the pathogens.
UNASSIGNED: During the epidemic of COVID-19, the incidence of intestinal TB is relatively low, which is easy to be overlooked and misdiagnosed, especially in the case of appendicitis. Therefore, clinicians must be highly vigilant in the diagnosis process to avoid missed diagnosis or misdiagnosis, so as to provide the best diagnosis and treatment plan.
摘要：
■2019年冠状病毒病（COVID-19）首次在武汉报道，湖北省,中国。它主要涉及呼吸系统，引起发烧,咳嗽,胸闷,和其他症状。然而,当与其他常见或罕见疾病合并时，如阑尾炎和肠结核（TB），会引起其他全身性病变,从而使原有的疾病失去其特异性的临床表现。该案例凸显了早期识别和临床精准医学诊断与治疗的重要性。
■一名年轻女子在右下象限出现间歇性疼痛和不适。超声检查提示阑尾炎伴周围脓肿。COVID-19的核酸检测呈阳性，胸部计算机断层扫描显示肺部受累。她被送去做手术。术后体温定期升高，TBT细胞检测呈阳性.
■由常见细菌引起的多重感染，大流行病毒,和特定的结核分枝杆菌引起一系列非特异性的临床表现，这给临床诊断和治疗带来了挑战。因此,当面对复杂的感染病例时，作者应考虑多种感染的可能性，并对病原体给予针对性治疗。
■在COVID-19流行期间，肠结核的发病率相对较低，这很容易被忽视和误诊，尤其是阑尾炎.因此,临床医生在诊断过程中必须高度警惕，避免漏诊或误诊，从而提供最佳的诊断和治疗方案。
■一名年轻女子在右下象限出现间歇性疼痛和不适。超声检查提示阑尾炎伴周围脓肿。COVID-19的核酸检测呈阳性，胸部计算机断层扫描显示肺部受累。她被送去做手术。术后体温定期升高，TBT细胞检测呈阳性.
■由常见细菌引起的多重感染，大流行病毒,和特定的结核分枝杆菌引起一系列非特异性的临床表现，这给临床诊断和治疗带来了挑战。因此,当面对复杂的感染病例时，作者应考虑多种感染的可能性，并对病原体给予针对性治疗。
■在COVID-19流行期间，肠结核的发病率相对较低，这很容易被忽视和误诊，尤其是阑尾炎.因此,临床医生在诊断过程中必须高度警惕，避免漏诊或误诊，从而提供最佳的诊断和治疗方案。
