导致年轻患者腹壁肿块的肺外结核病

IF 1 Q4 INFECTIOUS DISEASES Case Reports in Infectious Diseases Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI:10.1155/2024/9924307
Mohadeseh Karimi, Ali AtashAbParvar
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引用次数: 0

摘要

背景:结核病是由结核分枝杆菌引起的细菌感染。结核病可以说是人类历史上最大的杀手,至今仍是世界上最重要的传染性死亡原因之一。结核病可分为不同的形式,85%和 15%的病例分别表现为肺结核和肺外结核。腹壁受累的肺结核病例仅有少数报道。病例介绍。本病例是一名 27 岁的波斯妇女,入院前 6 个月出现右侧脐周不对称腹部隆起,无疼痛或分泌物。患者神志清楚,全身无不适或中毒症状。生命体征在正常范围内。腹部体格检查发现,右侧脐周触及一个直径为 3 × 3 厘米(cm)的活动、边界清楚、无触痛的肿块。患者接受了手术治疗,手术仔细切除了囊性病变。切除标本的组织病理学检查证实了结核病:我们报告了一例罕见的腹壁肺外结核病例。由于肺结核病例较多,而且肺外结核可能出现在腹壁这种难以诊断的异常部位,因此牢记肺结核的鉴别诊断非常重要。
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Extrapulmonary Tuberculosis Leading to Abdominal Wall Mass in Young Patient.

Background: Tuberculosis is a bacterial infection that is caused by Mycobacterium tuberculosis. Tuberculosis has arguably been the largest killer of humans historically, and it remains one of the most important infectious causes of death in the world. Tuberculosis can be classified into different forms and it manifests as pulmonary and out pulmonary, respectively, in 85% and 15% of cases. Only a few cases of tuberculosis with abdominal wall involvement have been reported. Case Presentation. Herein, we present a 27-year-old Persian woman, presented with asymmetric abdominal bulging in the right side of the periumbilical area since 6 months before admission that has no pain or secretion. The patient was oriented and not ill or toxic in general appearance. Vital signs were within normal ranges. An abdominal physical examination revealed a mobile, well-bordered, nontender mass 3 × 3 centimeter (cm) in diameter palpated in the right periumbilical area. The patient underwent surgery which revealed a cystic lesion that was carefully resected. In histopathology examination of the specimen resection, tuberculosis was confirmed.

Conclusion: We report a rare case of extrapulmonary tuberculosis that was identified at the abdominal wall. Due to the high number of cases of TB and the development of extrapulmonary forms that can present in an unusual location as an abdominal wall which are difficult to diagnose, it is very important to keep in mind the differential diagnosis of tuberculosis.

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审稿时长
13 weeks
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