以肝脾多发占位为首发表现的肺结核伴全身多脏器播散1例报告

于慧慧; 杨文轩; 吕聪; 胡玉琳

doi:10.3969/j.issn.1001-5256.2018.03.037

以肝脾多发占位为首发表现的肺结核伴全身多脏器播散1例报告

DOI: 10.3969/j.issn.1001-5256.2018.03.037

1. 吉林大学第一医院肝胆胰内科
2. 泰安市中心医院特检科

详细信息

中图分类号: R521
计量
- 文章访问数: 1828
- HTML全文浏览量: 15
- PDF下载量: 396
- 被引次数: 0
出版历程
- 出版日期: 2018-03-20

Pulmonary tuberculosis accompanied by systemic multiple organ dissemination with multiple space-occupying lesions in the liver and spleen as the first manifestation: a case report

Department of Hepatology, The First Hospital of Jilin University

摘要

摘要:
<正>1病例资料患者女性,27岁,因"反复发热3个月"于2015年8月26日入住吉林大学第一医院。3个月前患者无明显诱因出现发热,体温最高41℃,发热多见于下午或夜间,平均每日发作1~2次,伴畏寒、寒战,期间反复发热,体温在38.5℃左右,曾就诊于北京协和医院,考虑为"发热待查",具体诊疗不详,发热未见明显改善。病程中,咳少量白色黏液样痰、量少、无盗汗、食欲减退。入院查体:全身浅表淋巴结未扪及肿大,双肺呼
- 结核,肺 /
- 结核,肝 /
- 病例报告
- tuberculosis, pulmonary /
- tuberculosis, hepatic /
- case reports

HTML全文

参考文献(14)

[1]World Health Organization.Global tuberculosis report 2013[EB/OL].[2014-03-18].

[2]PARK JI.Primary hepatic tuberculosis mimicking intrahepatic cholangiocarcinoma:report of two cases[J].Ann Surg Treat Res, 2015, 89 (2) :98-101.

[3]VENKATESH SK, TAN LK, SIEW EP, et al.Macronodular hepatic tuberculosis associated with portal vein thrombosis and portal hypertension[J].Australasian Radiology, 2005, 49 (4) :322-324.

[4]BANDYOPADHYAY S, MAITY PK.Hepatobiliary tuberculosis[J].Assocphysicians India, 2013, 61 (6) :404-407.

[5]AKCAY MN, POLAT KY, OREN D, et al.Primary tuberculous liver abscess:a case report and review of literature[J].Int J Clin Pract, 2004, 58 (6) :625-627.

[6]LUTHER VP, BOOKSTAVER PB, OHL CA, et al.Corticosteroids in the treatment of hepatic tuberculosis:case report and review of the literature[J].Scand J Infect Dis, 2010, 42 (4) :315-317.

[7]CHAUDHARY P.Hepatobiliary tuberculosis[J].Ann Gastroenterol, 2014, 27 (3) :207-211.

[8]CHONG VH.Differences in patient profiles of abdominal and pulmonary tuberculosis:a comparative study[J].Med J Malaysia, 2011, 66 (4) :318-321.

[9]ZHAO Y, LIU XF.Analysis on 11 cases hepatic tuberculosis[J].Sichuan Med J, 2000, 21 (5) :402-403. (in Chinese) 赵颖, 刘小方.肝结核11例临床分析[J].四川医学, 2000, 21 (5) :402-403.

[10]XING X, LI H, LIU WG.Hepatic segrnenteetomy for treatment of hepatic tuberculous pseudotumor[J].Hepatobiliary Pancreat Dis Int, 2005, 4 (4) :565-568.

[11]ZHOU M, DUI DH, AO Y.Hepatic tuberculosis:a report of one case and literature data analysis of 158 cases[J].Chin J Bases Clin Gen Surg, 2017, 24 (1) :80-84. (in chinese) 周淼, 兑丹华, 敖宇.肝结核1例报道 (附158例文献资料分析) [J].中国普外基础与临床杂志, 2017, 24 (1) :80-84.

[12]CAO BS, LI XL, LI N, et al.The nodular form of hepatic tuberculosis:contrast-enhanced ultrasonographic findings with pathologic correlation[J].Ultrasound Med, 2010, 29 (6) :881-888.

[13]ZHANG KT, ZHANG GF, ZHANG H, et al.Hepatic tuberculosis misdiagnosed as hepatic metastasis:a case report[J].J Clin Hepatol, 2017, 33 (6) :1147-1148. (in Chinese) 张凯庭, 张国锋, 张航, 等.肝结核误诊为肝转移癌1例报告[J].临床肝胆病杂志, 2017, 33 (6) :1147-1148.

[14]WANG BH.Diagnosis and treatment of tuberculosis of the liver[J].J Postgraduates Med, 2002, 25 (3) :7-8. (in Chinese) 王炳煌.肝结核的诊断与治疗[J].医师进修杂志, 2002, 25 (3) :7-8.

施引文献

资源附件(0)

访问统计