Hypercalcaemic crisis as the presenting manifestation of abdominal tuberculosis: a case report

This report deals with a young man having prolonged fever presenting with hypercalcaemic crisis. Subsequent investigations confirmed tuberculosis (TB) peritonitis in the absence of pulmonary involvement as the cause of his symptoms. His hypercalcaemia and fever resolved with anti-TB therapy. Abdominal TB needs to be included in the differential diagnosis of otherwise unexplained hypercalcaemia especially in our region where TB is an endemic problem and is treatable.     

以足底感染为首发表现的血行播散性结核1例报道

 报道1例以左足底局部感染起病的血行播散性结核病例的临床、影像及诊治过程。血行播散性结核发病率低,仅占结核病的1%~2%,临床表现多样且非特异性,诊断非常困难。本例通过宏基因二代测序技术,在外周血检测到结核分枝杆菌复合群,为早期诊断结核病提供了非常重要的病原依据。后续骨髓活检、淋巴结活检病理提示肉芽肿,痰、左足脓液、淋巴结组织均培养到结核分枝杆菌,最终明确诊断为血行播散性结核。     

Humoral immune responses in different clinical forms of tuberculosis

To assess the antibody responses in different clinical forms of tuberculosis in an attempt to ascertain the specificity of such a response, so that it may be used as a diagnostic tool, 93 tuberculosis cases and 62 normal healthy controls were included in the study. All the cases were diagnosed as tuberculosis by clinical picture including radiological findings, blood picture, fine needle aspiration cytology (FNAC) or histopathological features, sputum examination or urine culture for acid-fast bacilli. IgM and IgG antibodies in the cases and controls were detected by ELISA using A60 antigen from M. bovis and compared with common diagnostic parameters of tuberculosis like presence of acid-fast bacilli in smear and tuberculin response. Antibody responses with A60 antigen has not been found to be specific and often failed to detect a new case.     

Obstructive jaundice: a manifestation of pancreatic tuberculosis

Tuberculosis of the pancreas is extremely rare and is most often associated with miliary tuberculosis or occurs in the immunocompromised patients. A case of isolated pancreatic tuberculosis in an immunocompetent patient is presented with constitutional symptoms and obstructive jaundice. Ultrasonography and computerised tomography showed a mass lesion in the head of pancreas. Histological examination of the peripancreatic lymph node and fine needle aspiration cytology from the head of pancreas confirmed the diagnosis following laparotomy. Patient recovered following the administration of antituberculosis chemotherapy.     

喉结核临床特征的变化

目的：探讨近年喉结核临床特征的变化，以加强对此疾病的认识，减少误诊误治。方法：回顾分析1991至2001年经病理确诊喉结核35例的临床资料。结果：患者22～75岁，男女比率为2．5：1。声嘶是其最常见的症状，占80％，全身症状少见。35例中15例胸片检查阴性，20例合并活动性肺结核的患者多表现为溃疡性或肉芽肿性病变。未见喉结核有特异的发病部位。结论：和过去相比，喉结核的临床表现发生了一些变化，临床医生在鉴别诊断喉部疾病时需考虑到喉结核，减少不必要的误诊误治。     

肺结核不典型表现和鉴别诊断

目的 探讨肺结核不典型表现，提高对肺结核的诊断水平。方法 分析我院肺结核误诊的临床资料。结果 肺结核不典型表现有：类似感冒、呼吸道感染、肿瘤的表现，无反应性肺结核，肺结核肺外表现，伴发病表现的掩盖，不典型的儿童及老年肺结核，多脏器衰竭表现的重症肺结核。结论 抽强对肺结核不典型表现的认识，及时的鉴别诊断，有助于减少肺结核的误诊。     

24例肝结核的CT表现

目的探讨肝结核的CT表现,以提高诊断水平。方法回顾性分析24例经临床或病理证实的肝结核病的CT表现。结果 15例全肝实质内弥漫多发小结节样或斑点状低密度影,6例肝实质内散在多发结节样或斑状低密度影,3例呈肝实质内单发病灶。结论 CT检查是发现肝结核的重要影像学检查方法。     

CT manifestation of 24 cases of liver tuberculosis

目的 探讨肝结核的CT表现,以提高诊断水平.方法 回顾性分析24例经临床或病理证实的肝结核病的CT表现.结果 15例全肝实质内弥漫多发小结节样或斑点状低密度影,6例肝实质内散在多发结节样或斑状低密度影,3例呈肝实质内单发病灶.结论 CT检查是发现肝结核的重要影像学检查方法.     

Costello综合征1例报告

1 病例资料 患儿女,8岁.因"自幼双眼睫毛过长"来我院眼科就诊.眼部检查:患儿双眼角膜明,瞳孔等大、等圆,晶状体透明,视网膜正常;眼压正常;角膜映光:正位;交替遮盖:不动;未发现眼球震颤;双眼眼球运动良好.双眼视力均为0.8,双眼睫毛长且乱生(图1A).出生及疾病史:第2胎,足月顺产,出生顺利;否认吸氧史,否认心脑血...     

肝结核的CT及DST表现（附3例报告）

肝结核是全身性结核的一部分 ,临床少见 ,且易误诊。1992～ 2 0 0 1年我院经病理证实为肝结核 3例 ,对其 CT及DSA表现报告如下。1　病例简介　　例 1:患者 ,男 ,6 0岁 ,无明显诱因上腹痛 4个月加重并发巩膜黄染入院 ,体检 :右上腹压痛 ,反跳痛 ,墨菲氏 (+) ,肝肋下未触及。实验室检查 :AFP(- ) ,谷丙 394U / L ,谷草 32 0 U /L,碱性磷酸酶 878U/ L,胆红素 111、7μm ol/ L。X线胸片示肺结核。CT示肝内胆管扩张 ,内见泥沙样高密度灶 ,胆总管扩张 ,内见 2 .4cm× 3cm大小致密灶 ,右肝可见多发点状 ,小片状低密度区 ,边缘不清 ,CT值 31…     

Dysphagia as a primary manifestation of thyrotoxicosis: a case report

This report deals with a middle aged man in whom the presenting symptom of the disorder was dysphagia. The clinical approach to the final diagnosis of thyrotoxic myopathy causing dysphagia is outlined and the pathophysiology of dysphagia then discussed. The need to include thyrotoxicosis in the differential diagnosis of an otherwise unexplained case of dysphagia is stressed.     

以共济失调为主要表现的布氏杆菌病1例

<正>患者,男,30岁。因左眼复视伴进行性双下肢行走不稳6个月入院。自诉于2018年12月左右无明显诱因逐渐出现左眼外展时复视,伴排尿困难,尿等待时间长,在当地县医院以前列腺炎治疗,效果不佳。2019年4月出现双下肢行走僵硬不稳,如踩棉花,不能走直线,大便费力,听力减退,复视情况同前,就诊于外院,查泌尿彩色超声膀胱腔内沉积物,前列腺钙化斑,双肾结构、输尿管未见明显异常,头颅CT平扫未见明显异常,未明确诊断。     

Congenital tuberculosis: a case report

Congenital tuberculosis is a rare disease, difficult to be correctly diagnosed from clinical manifestations alone without maternal tuberculous history. In this article we report a neonate who exhibited abdominal distension and bloody diarrhea simulating neonatal sepsis and necrotizing enterocolitis. Exploratory laparatomy was performed for the markedly distended abdomen and deteriorated condition. Calcified lymph nodes over mesentery and spleen were found, and biopsy was done to show caseous tubercles. However, this neonate deteriorated rapidly and died one day after operation. Autopsy revealed generalized discrete miliary tubercles over the lungs, liver, spleen, pancreas, adrenal glands, thyroid and lymph nodes.     

Intraorbital tuberculosis: a case report

A 75-year-old woman presented at the eye clinic of the University of llorin Teaching Hospital with swelling of the left eyelids and protrusion of the left eyeball. The swelling was painless. Physical examination revealed no systemic abnormality. An incisional biopsy of the lid swelling revealed tuberculous orbital involvement. She responded well to anti-tuberculosis therapy, with regression of the lid swelling and proptosis. The importance of including intraorbital tuberculosis as a differential of orbital swelling in the environment is emphasised.     

以肠梗阻及便血为主要表现的真菌性小肠炎1例

真菌性小肠炎的病例少有报道。中南大学湘雅三医院消化内科收治了1例以空肠多发溃疡合并肠梗阻为主要临床表现的真菌性小肠炎患者。患者在接受抗真菌治疗后,临床症状完全缓解,上消化道和空肠多发溃疡治愈。真菌性小肠炎临床表现较为特殊,小肠溃疡易误诊,掌握本病的临床特点有助于避免误诊误治。