2岁女童非典型分枝杆菌性宫颈淋巴结病

Q4 Medicine

Pediatria Polska Pub Date : 2023-01-01 DOI:10.5114/polp.2023.128800

Anna Fedorowicz, M. Pasierbek, W. Korlacki

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引用次数: 0

摘要

淋巴结病是儿科人群中一种常见的临床疾病。50%的病例发生在健康儿童中，75%的病例表现为局部形式。淋巴结病持续3个月以上被定义为慢性。引起淋巴结肿大的常见情况包括感染、恶性肿瘤和自身免疫性疾病。引起传染性淋巴结病的分枝杆菌分为结核性和非结核性分枝杆菌(NTM)。分枝杆菌疾病的诊断是复杂的，明确的手术是NTM颈面淋巴结炎的最佳治疗选择。我们提出一个2岁的女孩慢性颈部淋巴结病，最终诊断为NTM感染。诊断和治疗过程是复杂的，需要跨学科的方法和几个外科手术。治疗采用负压疗法。

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Atypical mycobacterial cervical lymphadenopathy in a 2-year-old girl

Lymphadenopathy is a common clinical condition in the paediatric population. In 50% of cases it occurs in otherwise healthy children, and in 75% it presents as a localized form. Lymphadenopathy lasting more than 3 months is defined as chronic. Common conditions causing lymph node enlargement include infections, malignancies, and autoimmune disorders. Mycobacteria causing infectious lymphadenopathy are divided into tuberculous and non-tuberculous mycobacteria (NTM). Diagnosing mycobacterial disease is complicated, and definitive surgery is the best treatment option for NTM cervicofacial lymphadenitis. We present a case of a 2-year-old girl with chronic cervical lymphadenopathy, eventually diagnosed as NTM infection. The diagnostic and therapeutic process was complicated, demanding an interdisciplinary approach and several surgical procedures. The treatment was supported by negative pressure therapy.

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来源期刊

Pediatria Polska Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Pediatria Polska - rzetelna wiedza i tradycja. Organ Polskiego Towarzystwa Pediatrycznego. Ukazuje się od 1921 roku, poprzednio w latach 1908-1920 jako Przegląd Pedyatryczny. Drugie obok Otolaryngologii Polskiej najstarsze czasopismo medyczne ukazujące się na polskim rynku. Czasopismo zamieszcza doświadczalne i kliniczne prace oryginalne oraz opisy rzadko występujących i trudnych diagnostycznie przypadków klinicznych. W Pediatrii Polskiej publikowane są także obszerne omówienia poglądowe problemów pediatrycznych oparte na najnowszym piśmiennictwie światowym.