1例PCR检测阴性的艾滋病患者因结核分枝杆菌引起乳糜胸和乳糜腹水。

Q4 Medicine
Pneumologia Pub Date : 2016-07-01
Ángel Del Cueto-Aguilera, Héctor Raúl Ibarra-Sifuentes, Guillermo Delgado-García, Alexandro Atilano-Díaz, Dionicio Ángel Galarza-Delgado
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引用次数: 0

摘要

结核分枝杆菌作为乳糜胸和乳糜腹水的原因是极其罕见的。一名46岁艾滋病合并肺结核的非粘附性女性,因呼吸困难、胸膜炎和腹痛就诊。胸部x光显示左侧胸腔积液。增强ct显示腹腔积液。胸腔穿刺显示乳糜胸,腹腔穿刺显示乳糜腹水。结核分枝杆菌的afb染色和PCR (GeneXpert MTB/RIF检测)均为阴性。恶性细胞细胞学检测也呈阴性。结核病可能是乳糜胸和乳糜腹水的原因,因为当抗结核药物恢复后,她的临床情况有所改善。即使PCR检测为阴性,也应将结核分枝杆菌纳入鉴别诊断,因为它具有治疗和预后意义。关键词:乳糜胸,乳糜腹水,结核分枝杆菌,获得性免疫缺陷综合征,抗结核药物
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chylothorax and chylous ascites due to Mycobacterium tuberculosis in an AIDS patient whose PCR tested negative.

Mycobacterium tuberculosis as a cause of both chylothorax and chylous ascites is extremely rare. A 46-year-old non-adherent woman with AIDS and pulmonary tuberculosis presented to our clinic with dyspnea, pleuritic chest and abdominal pain. Chest x-ray demonstrated a left pleural effusion. Contrast-enhanced CT showed free abdominal fluid. Thoracentesis revealed a chylothorax, and paracentesis a chylous ascites. AFB staining and PCR for M. tuberculosis (GeneXpert MTB/ RIF Assay) were both negative. Malignant cells cytology also tested negative. Tuberculosis could account for both chylothorax and chylousascites, as she clinically improved when antituberculous drugs were resumed. Even when PCR tested negative, M. tuberculosis should be included in the differential diagnosis because of its therapeutic and prognostic implications. Keywords: Chylothorax, chylous ascites, Mycobacterium tuberculosis, acquired immunodeficiency syndrom, antituberculous drugs.

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来源期刊
Pneumologia
Pneumologia Medicine-Pulmonary and Respiratory Medicine
CiteScore
0.20
自引率
0.00%
发文量
10
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