Enlarging Tuberculous Lymph Node Despite Treatment: Improving or Deteriorating?

LpY Lee; WK Chiu; HB Chan

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Enlarging Tuberculous Lymph Node Despite Treatment: Improving or Deteriorating?

机译：接受治疗但会增大结核淋巴结：改善还是恶化？

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Tuberculous lymphadenitis is not uncommonly diagnosed in children with cervical lymphadenopathy and fever. Despite effective treatment by anti-tuberculosis therapy, the tuberculous lymph nodes can paradoxically increase in size after initial clinical improvement. This phenomenon of paradoxical reaction during treatment is common among patients with extra-pulmonary tuberculosis. We report a case of tuberculous lymphadenitis, the disease course of which was complicated by paradoxical reaction. The clinical features, pathogenesis, diagnosis and management of paradoxical reaction were highlighted.

机译：患有颈淋巴结肿大和发烧的儿童通常不诊断为结核性淋巴结炎。尽管通过抗结核疗法进行了有效的治疗，但在最初的临床改善后，结核淋巴结的大小却反常增加。在治疗过程中这种矛盾的现象在肺外结核患者中很常见。我们报告一例结核性淋巴结炎，其病程因反常反应而复杂化。突出了反常反应的临床特点，发病机制，诊断和处理。

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《Hong Kong Journal of Paediatrics》 |2009年第1期|共4页
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LpY Lee; WK Chiu; HB Chan;
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中图分类儿科学;
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2. Lymph node staging by means of positron emission tomography is less accurate in non-small cell lung cancer patients with enlarged lymph nodes: analysis of 1,145 lymph nodes. [J] . Al-Sarraf N, Gately K, Lucey J, Lung cancer: Journal of the International Association for the Study of Lung Cancer . 2008,第1期

机译：通过正电子发射断层摄影术进行的淋巴结分期在淋巴结扩大的非小细胞肺癌患者中不太准确：分析了1,145个淋巴结。
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4. A minimally interactive method to segment enlarged lymph nodes in 3D thoracic CT images using a rotatable spiral-scanning technique [C] . Lei Wang, Jan H. Moltz, Lars Bornemann, Conference on computer-aided diagnosis . 2012

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6. Chylothorax due to enlarged tuberculous lymph nodes [O] . Silvia Bielsa, Marina Pardina, José M Porcel 1929

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7. Numerous lymph node metastases in early gastric cancer without preoperatively enlarged lymph nodes: a case report [O] . Chikanori Tsutsumi, Taiki Moriyama, Kenoki Ohuchida, 2020

机译：早期胃癌中无数淋巴结转移，没有术前扩大的淋巴结：案例报告

Enlarging Tuberculous Lymph Node Despite Treatment: Improving or Deteriorating?

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