Cristian Morán-Mariños, Felix Llanos-Tejada, Renzo Villanueva-Villegas, Kanneth G Vargas-Ponce, Juan Salas-López
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引用次数: 0
摘要
无肺部受累的咽部结核非常罕见,可能与恶性病变混淆。我们为大家介绍一位 45 岁的女性患者,她有 HIV 感染史,长期使用抗生素后出现咳嗽、咽痛和口腔溃疡。其病理变化表明可能是恶性肿瘤,但活检结果却与咽结核一致。患者开始接受抗结核治疗,病情有所好转,溃疡也有所缓解。在艾滋病毒感染的情况下,这种治疗可能是导致疾病诊断不足的主要原因,并可能导致其他诊断。因此,在抗生素治疗无效的患者中考虑这种情况至关重要。
Primary Tuberculosis of the Pharynx in an HIV Context: A Case Report.
Pharyngeal tuberculosis without pulmonary involvement is very rare and may be confused with malignant lesions. We present a 45-year-old female patient with a history of HIV presenting with a history of cough, sore throat, and oral ulcers with chronic use of antibiotics. The evolution would indicate a probable malignant tumor, but the biopsy was consistent with Pharyngeal TB. The patient initiated anti-tuberculosis therapy and demonstrated improved conditions and remission of ulcers. In the context of HIV, this treatment could be a major contributor to the underdiagnosis of the disease and may lead to alternative diagnoses. Therefore, it is vital to consider this condition in patients who do not respond to antibiotics.