[传染性或播散性结核病:流行病学、诊断和管理]。

Revue medicale de Liege Pub Date : 2024-11-01
Hamida Kwas
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引用次数: 0

摘要

纤毛结核(MT)是结核病中最严重的一种。它可能危及生命。绒毛膜结核的特点是经常在全身播散,因此被称为 "播散性结核"。这种形式的结核病是由于结核分枝杆菌从病灶破裂进入血液或淋巴而造成的大量淋巴血行播散。即使是最有经验的临床医生,诊断 MT 也是一项挑战。在缺乏治疗的情况下,这种疾病是致命的。MT常见于儿童、青壮年和艾滋病病毒感染者。临床表现往往容易被误导,一般体征不明显,体格检查也不完善。由于临床多态性和大多数病例缺乏细菌学证据,MT 的诊断通常比较困难。这种病症的预后取决于诊断和治疗管理的及时性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Miliary or disseminated tuberculosis : epidemiology, diagnosis and management].

Miliary tuberculosis (MT) is one of the most serious forms of tuberculosis. It can be life-threatening. MT is characterized by its frequently disseminated nature throughout the body, hence the name "disseminated tuberculosis". This form results from massive lympho- hematogenous dissemination of Mycobacterium tuberculosis from a focal lesion ruptured into the blood or lymphatic flow. Diagnosing MT may be a challenge that can make perplex even the most experienced clinicians. In the absence of treatment, the disease is fatal. MT is commonly found in children, young adults, and HIV-infected patients. The clinical presentation is often misleading with general signs in the foreground and a poor physical examination. Diagnosis of MT is often difficult due to clinical polymorphism and the lack of bacteriological proof in most cases. The prognosis of this pathology depends on the precocity of the diagnostic and therapeutic management.

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