一名儿童患者疑似克罗恩病的播散性结核病

IF 1 Q4 INFECTIOUS DISEASES Case Reports in Infectious Diseases Pub Date : 2023-06-29 eCollection Date: 2023-01-01 DOI:10.1155/2023/7312630
Elizabeth Feenstra, Yentl Driesen, Nicolette Moes, Nathalie Jouret, Koen Vanden Driessche
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引用次数: 0

摘要

结核病是全球儿童的一种重要传染病。儿童结核病的临床表现多种多样,根据受累器官的不同,往往伴有非特异性症状,可与其他疾病混淆。在本报告中,我们介绍了一例先肠道后肺部受累的 11 岁男孩播散性肺结核病例。由于临床表现酷似克罗恩病、诊断检测困难以及美罗培南治疗后病情好转,该病例的诊断被推迟了数周。本病例说明了对胃肠道活组织进行详细显微镜检查的重要性,以及医生应该注意的美罗培南的抗结核作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Disseminated Tuberculosis Mimicking as Crohn's Disease in a Paediatric Patient.

Tuberculosis is an important infectious disease for children worldwide. The clinical presentation of tuberculosis in children is diverse and, depending on the affected organs, it is often accompanied with nonspecific symptoms that can mimic other diseases. In this report, we present a case of disseminated tuberculosis in an 11-year-old boy with intestinal followed by pulmonary involvement. The diagnosis was delayed for several weeks due to the clinical picture which was mimicking Crohn's disease, the known difficulties in diagnostic tests and the improvement on meropenem. This case demonstrates the importance of a detailed microscopic examination of gastrointestinal biopsies and the tuberculostatic effect of meropenem which physicians should be aware of.

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审稿时长
13 weeks
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