婴儿多器官结核瘤。

IF 1.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of Clinical Imaging Science Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI:10.25259/JCIS_212_2021
Sri Asriyani, Erlin Syahril, Nelly
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引用次数: 0

摘要

结核瘤是一种占位性病变,由转移性结核的炎症过程所引起,最常见于脑和肺。这种形式的肺结核常见于成人,但很少见于儿童。我们在此报告一例患有多器官结核瘤的婴儿。病人有不明确的体征和症状。双下肢及右手多处颈部淋巴结肿大及无力。胸片显示左肺肿块,胸部CT进一步检查发现肺结核瘤、纵隔淋巴结病和肺炎。宫颈超声示多发宫颈淋巴结肿物,脑MRI示多发颅内结核瘤伴局灶性脑膜炎。胃洗液镜检显示抗酸芽孢杆菌涂片阳性,颈部肿块活检显示慢性肉芽肿性淋巴结炎,支持结核感染。通过这个病例,我们强调婴儿肺部和肺外结核的各种表现的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Multiple organ tuberculomas in infant.

Multiple organ tuberculomas in infant.

Multiple organ tuberculomas in infant.

Multiple organ tuberculomas in infant.

Tuberculoma is a space-occupying lesion resulting from the containment of the inflammatory process in metastatic tuberculosis, which most commonly occur in the brain and lungs. This form of tuberculosis is commonly found in adults, but rarely seen in children. Here we reported a case of an infant with multiple organ tuberculomas. The patient had unspecific signs and symptoms. There were also multiple cervical lymph nodes enlargement and weakness in both lower limbs and right hand. Chest radiograph showed a left pulmonary mass which was further evaluated by thorax CT imaging and revealed pulmonary tuberculoma, mediastinal lymphadenopathies, and pneumonia. Cervical ultrasound showed multiple cervical lymphadenites and brain MRI with contrast showed multiple intracranial tuberculomas with focal meningitis. A microscopic examination from gastric lavage sampling revealed a positive acid-fast bacillus smear and a biopsy of a lump in the neck demonstrated a picture of chronic granulomatous lymphadenitis that supports tuberculosis infection. Through this case, we emphasize the importance of the various appearance of pulmonary and extrapulmonary tuberculosis in infants.

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来源期刊
Journal of Clinical Imaging Science
Journal of Clinical Imaging Science RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.00
自引率
0.00%
发文量
65
期刊介绍: The Journal of Clinical Imaging Science (JCIS) is an open access peer-reviewed journal committed to publishing high-quality articles in the field of Imaging Science. The journal aims to present Imaging Science and relevant clinical information in an understandable and useful format. The journal is owned and published by the Scientific Scholar. Audience Our audience includes Radiologists, Researchers, Clinicians, medical professionals and students. Review process JCIS has a highly rigorous peer-review process that makes sure that manuscripts are scientifically accurate, relevant, novel and important. Authors disclose all conflicts, affiliations and financial associations such that the published content is not biased.
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