一位30岁男性军人结核患者在MRI上表现为全血细胞减少和脑出血模拟脑肿瘤

Q. M. Ahmed, N. Hasan
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引用次数: 0

摘要

与发烧不同,全血细胞减少症是肺结核和颅内出血的一种罕见的血液学表现。我们在此报告一例播散性肺结核,表现为全血细胞减少和颅内出血。患者表现为长期发热、体重减轻,随后出现昏迷和惊厥。经诊断为结核伴惊厥性全血细胞减少脑出血后,给予1类标准抗结核治疗和抗惊厥药。完成抗结核药物治疗后,他的发烧完全消退,体重增加,全血细胞减少症得到改善。但他仍在服用抗惊厥药物,癫痫发作得到了很好的控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 30-Year-Old Male Patient of Miliary Tuberculosis Presented with Pancytopenia and Intracerebral Haemorrhage Mimicking Brain Tumor in MRI
Unlike to fever, pancytopenia is a rare hematological manifestations of tuberculosis and intracranial haemorrhage as well. Here we report a case of disseminated tuberculosis presented with pancytopenia and intracranial haemorrhage. !e patient presented with prolonged pyrexia, weight loss and subsequently unconsciousness and convulsion. After the diagnosis of tuberculosis with pancytopenia and intracerebral haemorrhage "owed by convulsion, he was treated with category-1 standard anti-tubercular therapy and anticonvulsant. After completion of the anti-tubercular drug his fever completely subsided and gained weight and pancytopenia was improved. But he is still on anti-convulsant medication with good control of seizure.
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