PDF(Pubmed)
Abstract：
BACKGROUND: Owing to the advancement in bacterial identification techniques, the detection rate of non-tuberculous mycobacterium (NTM) has been on the rise. Different from Mycobacterium tuberculosis, the clinical symptoms of NTM are not easily detected, and the clinical efficacy and prognosis are somewhat heterogeneous. To report a case of Mycobacterium gordoniasis of cervical lymph node diagnosed in Anhui Chest Hospital in July 2022.
METHODS: Upon examination, the patient who weighed 67.5 kg, was human immunodeficiency virus negative, healthy, without hypertension, diabetes, heart disease and other basic diseases microscopic analysis revealed granulomatous inflammation with coagulation necrosis in the lymphocyte, and tuberculosis was not ruled out. Plain computed tomography scans of the neck and chest indicated the presence of a single grayish-yellow and grayish-brown tissue, the dimensions of which was top of form 10.5 cm × 3.0 cm × 1.5 cm. After pathological consultation in our hospital, the diagnosis was confirmed as NTM infection.
CONCLUSIONS: This case report and the clinical epidemiological research on improving NTM have important guiding significance for improving decision-making in clinical treatments.
METHODS: Upon examination, the patient who weighed 67.5 kg, was human immunodeficiency virus negative, healthy, without hypertension, diabetes, heart disease and other basic diseases microscopic analysis revealed granulomatous inflammation with coagulation necrosis in the lymphocyte, and tuberculosis was not ruled out. Plain computed tomography scans of the neck and chest indicated the presence of a single grayish-yellow and grayish-brown tissue, the dimensions of which was top of form 10.5 cm × 3.0 cm × 1.5 cm. After pathological consultation in our hospital, the diagnosis was confirmed as NTM infection.
CONCLUSIONS: This case report and the clinical epidemiological research on improving NTM have important guiding significance for improving decision-making in clinical treatments.
摘要：
背景：由于细菌鉴定技术的进步，非结核分枝杆菌(NTM)检出率呈上升趋势。与结核分枝杆菌不同,NTM的临床症状不易被发现,临床疗效和预后有一定的异质性。报告2022年7月安徽省胸科医院诊断的1例颈部淋巴结结核分枝杆菌。
方法：经检查，体重为67.5公斤的病人，是人类免疫缺陷病毒阴性，健康,没有高血压，糖尿病,心脏病等基础疾病镜下分析显示肉芽肿性炎症伴淋巴细胞凝固性坏死,不排除肺结核。颈部和胸部的普通计算机断层扫描扫描显示存在单个灰黄色和灰褐色组织，其尺寸为形式10.5cm×3.0cm×1.5cm的顶部。经过我们医院的病理会诊,确诊为NTM感染.
结论：本病例报告及改善NTM的临床流行病学研究对改善临床治疗决策具有重要的指导意义。
方法：经检查，体重为67.5公斤的病人，是人类免疫缺陷病毒阴性，健康,没有高血压，糖尿病,心脏病等基础疾病镜下分析显示肉芽肿性炎症伴淋巴细胞凝固性坏死,不排除肺结核。颈部和胸部的普通计算机断层扫描扫描显示存在单个灰黄色和灰褐色组织，其尺寸为形式10.5cm×3.0cm×1.5cm的顶部。经过我们医院的病理会诊,确诊为NTM感染.
结论：本病例报告及改善NTM的临床流行病学研究对改善临床治疗决策具有重要的指导意义。
