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21.
Yuzo Kodaira Tetsuo Shibuya Koushi Matsumoto Kiichiro Uchiyama Toshihiro Tenjin Nobutaka Yamada Shigeo Tanaka 《Surgery today》1997,27(8):745-748
A 66-year-old man died of massive gastrointestinal hemorrhage caused by a fistula between the third portion of the duodenum
and the abdominal aorta. An autopsy revealed that duodenal tuberculosis had resulted in the development of a fistula into
the aorta with no pathological changes, and no active pulmonary tuberculosis was found. Duodenal tuberculosis and primary
aortoduodenal fistula (ADF) without an aneurysm are both extremely rare. Thus, we report herein a unique case of primary aortoduodenal
fistula without an abdominal aortic aneurysm, but associated with duodenal tuberculosis, and review the current literature. 相似文献
22.
为探讨用ELISA法(酶联免疫吸附试验)检测血清抗PPD(结核菌素纯蛋白衍生物)IgG抗体对儿童结核的诊断意义,对42例儿童结核、30例儿童肺炎及16例健康对照者进行了检测,阳性率分别为92.85%、6.66%、6.25%。结核病例经六个月正规化疗后,阳性率明显降低,说明此项检测可做为一项诊断儿童结核及评价疗效的指标。 相似文献
23.
W. A. Shaikh 《Allergy》1992,47(4):327-330
Inhaled beclomethasone dipropionate (BDP) has been used with few side effects in the treatment of bronchial asthma for 2 decades. Until now the manifestation of tuberculosis (TB) in patients on inhaled BDP has not been reported. Eight patients with allergic asthma, of a total of 548 asthmatics (1.46%) seen over a 2-year period, developed active TB following the use of inhaled BDP. All were sputum-positive for acid-fast bacilli (AFB) on smear and/or culture, all responded well to a combination of anti-TB drugs, and none showed evidence of immunological or pituitary-adrenal suppression. Two patients agreed to a repeat administration of BDP; both developed TB again within 2 weeks and are again on anti-TB treatment. 相似文献
24.
张建国 《河北医科大学学报》1987,(4)
本文报道了非手术治疗脊柱结核的5例患者,利用抗痨药物和中药制剂综合治疗,最短9个月,最长18个月,均获痊愈。经过3~5年的追踪观察,未见复发。此种办法,对于不适合手术治疗的脊柱结核患者,提供了一条可行的治疗途径。 相似文献
25.
目的:从分子流行病学的角度探讨广东省结核分支杆菌菌株流行的分布。方法:构建广东省74株临床分离的以RFLP为基础的结核分支杆菌的IS6110 DNA指纹图谱技术,确诊结核分支杆菌菌株的流行分布。结果:24.3%(18/74)的结核菌株的IS6110 DNA指纹相似值在1-0.65之间,鉴定结果为它们均是“北京家族”结核分支杆菌菌株。结论:广东省结核菌株流行主要存在着遗传关系接近,在基因水平上相关程度较高的“北京家族”结核分支杆菌菌株,且该家族菌株正以一定的比例在我省流行。 相似文献
26.
Seung Min Lee Seung Kyung Hann Soo II Chun Seung Hung Lee Yoon-Kee Park 《The Journal of dermatology》1994,21(2):106-110
A 25-year-old female has had brown to erythematous telangiectatic patches and grouped papules on her face, neck, arm, and trunk since childhood following B.C.G. vaccination. Histopathologically, the lesions consisted of hyperkeratosis, slight acanthosis, tuberculoid granulomas with some Langerhans type giant cells in the mid-dermis. Although various forms of cutaneous tuberculosis after B.C.G. vaccination have been reported, it was difficult for us to assign the patient's skin lesion to any specific disease entity. Remission of her cutaneous lesions occurred clinically and histopathologically after treatment with isoniazid and rifampin. 相似文献
27.
报告了成人结核性脑膜炎11例误诊,并收集国内报告的221例误诊病例,对结核性脑膜炎的误诊原因进行了综合分析。 相似文献
28.
Alexandros Kolokotronis Evanda Avramidou Thomas Zaraboukas Kalliopi Mandraveli Stella Alexiou Demetrios Antoniades 《Journal of oral pathology & medicine》2006,35(2):123-125
BACKGROUND: The use of immunosuppressive medication is a dominant risk factor for infection in patients with rheumatoid arthritis (RA). Methotrexate (MTX) is one of the traditional disease-modifying antirheumatic drugs. Adalimumab [a human anti-tumor necrosis factor-alpha (anti-TNF-alpha) monoclonal antibody] represent an important advance in the treatment of RA and has been recently come in use. TNF-alpha plays a role in the host defense against Mycobacterium tuberculosis and notably in granuloma formation. Infections occur at a high rate among those who use one or the combination of the two medications. METHOD: We examined a female patient that was referred to our department for evaluation and treatment of a granular lesion on the soft palate and uvula, complaining of mild dysphagia. The patient was treated for 4 months with MTX and adalimumab for RA before the oral lesion appeared. RESULTS: The histopathological examination of a specimen of the oral lesion, taken by biopsy, showed a chronic inflammation characterized by tuberculous granulomas. Polymerase chain reaction test and culture of a new specimen was positive for M. tuberculosis. CONCLUSIONS: The therapeutic use of MTX or/and adalimumab for the treatment of RA or few others diseases, can cause oral tuberculosis. 相似文献
29.
R. Liefooghe N. Michiels S. Habib M. B. Moran A. De Muynck 《Social science & medicine (1982)》1995,41(12)
Treatment defaulting is one of the major causes of the failure of TB control programs. In Bethania Hospital. Sialkot, defaulting rates are high: 72% for the standard 12 months course and 56% for the 8 months course. Attrition is especially important in the first weeks of treatment: < 70% of the patients start the 10th week of treatment. A focus group discussion study has been carried out to gain a better understanding of the impact of social stigmatization, treatment cost and pregnancy on defaulting. The study population consisted of 3 male and 3 female groups each with 8 hospitalized TB patients. The study shows that TB is perceived as a very dangerous, infectious and incurable disease. This perception has many social consequences: stigmatization and social isolation of TB patients and their families; diminished marriage prospects for young TB patients, and even for their family members; TB in one of the partners may lead to divorce. Due to fear patients often deny the diagnosis and reject the treatment. While both male and female TB patients face many social and economical problems, female patients are more affected. Divorce and broken engagements seem to occur more often in female patients. Females are usually economically dependent on their husbands and family in law, and need their cooperation to avail of treatment. The belief that pregnancy enhances the risk for relapse decreases their marriage prospects. Pregnancy is also a reason for stopping TB treatment as both are considered as incompatible. The findings of this study reveal the urgent need for a health education campaign to convince the general population that tuberculosis is curable. All health care providers should act as destigmatizers. 相似文献
30.