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首页> 外文期刊>The Internet Journal of Tropical Medicine >Disseminated Tuberculosis In A Immunocompetent Patient Involving Lungs, Intestines, Brain, Bone And Soft Tissue
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Disseminated Tuberculosis In A Immunocompetent Patient Involving Lungs, Intestines, Brain, Bone And Soft Tissue

机译：一名具有肺功能，肠道，大脑，骨骼和软组织免疫功能的患者的播散性结核病

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摘要

Tuberculosis is extremely common in Indian subcontinent. It may involve virtually any system of the body. We are presenting a case of 21 years old immunocompetent female who presented to us with features of abdominal koch’s. Subsequent investigations revealed tubercular involvement of lungs, intestines, brain, bone and soft tissue. Patient responded very well to antitubercular therapy. Case report A 21 years old female presented to surgical emergency ward, Lok Nayak hospital, Delhi in February 2007 with colicky pain abdomen, occasional vomiting, fever, productive cough and weight loss. Laboratory reports reveal hemoglobin as 10 gram%, Total leukocyte count as 12000/cu.mm, Differential count as neutrophils 40% and lymphocytes 60%. ESR was 60, Mantoux reading was 20mm after 48 hours, serum albumin was 2 g%, blood sugar, blood urea, serum Bilirubin were normal. Elisa for HIV was negative. Chest x ray revealed bilateral patchy opacities. Contrast enhanced CT scan was carried out which showed matted bowel loops with inter loop fluid collection, enlarged Para aortic lymph nodes (figure 1), lytic lesion in D 12 vertebrae with Para vertebral collection in soft tissue (figure 2).
机译：结核病在印度次大陆极为普遍。它实际上可能涉及人体的任何系统。我们正在介绍一例21岁具有免疫能力的女性，该女性向我们展示了腹部科赫氏病的特征。随后的调查显示肺，肠，脑，骨和软组织的结核累及。患者对抗结核治疗反应良好。病例报告2007年2月，一名21岁的女性因腹部绞痛，偶尔呕吐，发烧，生产性咳嗽和体重减轻而被送往德里Lok Nayak医院急诊科。实验室报告显示血红蛋白为10克％，总白细胞计数为12000 / cu.mm，差异计数为中性粒细胞40％，淋巴细胞为60％。 ESR为60，48小时后Mantoux读数为20mm，血清白蛋白为2 g％，血糖，血尿素，血清胆红素均正常。 Elisa的HIV感染呈阴性。胸部X线检查显示双侧斑片混浊。进行了对比增强的CT扫描，结果显示肠loop杂结，伴有loop间积液，主动脉旁淋巴结肿大（图1），D 12椎骨溶解性病变，软组织中有椎间盘突出（图2）。

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