结核还是不结核，这是一个问题？

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

British journal of hospital medicine Pub Date : 2024-10-30 Epub Date: 2024-10-27 DOI:10.12968/hmed.2024.0180

Ellen McAuliffe, Bryan Renton

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引用次数: 0

摘要

一名 26 岁的女性患者因干咳、无意中体重减轻、盗汗和乏力就诊 3 个月。她曾患溃疡性结肠炎，使用阿达木单抗治疗近两年。临床检查无异常，只是有些轻微苍白。异常的胸部X光检查结果促使她接受了胸部计算机断层扫描（CT）检查，结果显示多灶性支气管周围合并症。鉴别诊断为多灶性组织化肺炎和肺结核（TB）。包括侵入性支气管成像和活检在内的广泛检查最终排除了肺结核的可能性。本文报告了一例阿达木单抗诱发的组织性肺炎病例，并讨论了其临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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TB or Not TB, That is the Question?

A 26-year-old female presented with a 3-month history of dry cough, unintentional weight loss, night sweats and fatigue. Her background history was significant for ulcerative colitis, managed with Adalimumab for almost 2 years. Clinical examination was unremarkable, apart from some mild pallor. Abnormal chest x-ray findings prompted a computerised tomography (CT) thorax which demonstrated multifocal peri-bronchial consolidation. The differential diagnosis was multifocal organising pneumonia and tuberculosis (TB). Extensive investigations, including invasive bronchial imaging and biopsy, ultimately ruled out TB. This paper reports a case of Adalimumab-induced organising pneumonia and discusses its clinical implications.

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来源期刊

British journal of hospital medicine 医学-医学：内科

CiteScore

1.50

自引率

0.00%

发文量

176

审稿时长

4-8 weeks

期刊介绍： British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.