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題 名 | Miliary Tuberculosis Complicated with Adult Respiratory Distress Syndrome and Infective Endocarditis--A Case Report=粟粒狀結核病併發成人呼吸窘迫症候群及感染性心內膜炎--病例報告 |
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作 者 | 李原地; 李聰明; 郭靖海; | 書刊名 | 胸腔醫學 |
卷 期 | 12:4 1997.12[民86.12] |
頁 次 | 頁183-189 |
分類號 | 415.2773 |
關鍵詞 | 粟粒狀結核病; 成人呼吸窘迫症候群; 感染性心內膜炎; Miliary tuberculosis; Adult respiratory distress syndrome; Infective endocarditis; |
語 文 | 英文(English) |
中文摘要 | 粟粒狀結核病合併成人呼吸窘迫症候群是相當少見且嚴重的併發症,因結核菌造成感染性心內膜炎更是罕見的病例。本文報告一位35歲懷孕19週的婦女因為持續高燒兩週以上及因病況惡化發生呼吸衰竭。其胸部X光呈現兩側粟粒狀及瀰漫間質性浸潤。病人經食道心臟超音波檢查發現在肺動脈瓣膜上有塊樣增生物。血液培養結果為陰性。連續痰液鏡檢發現有AFB染色結核菌,結果於是給與抗結核菌藥物後,病人症狀改善且病情得到控制,六週後痰液培養結果為結核桿菌,因而證實了診斷,現在病人仍在門診繼續追蹤治療。對於粟粒狀結核病併發成人呼吸窘迫症候群及感染性心內膜炎,早期的正確診斷及給與適當的藥物是治療成功的要素。 |
英文摘要 | Adult respiratory distress syndrome (ARDS) and infective endocarditis are rare but severe complications of miliary tuberculosis with rare reports of survivors. We report a 35 year-old pregnant patient, with 19 weeks gestation who suffered from persistent spiking fever for two weeks, condition later deteriorated and developed respiratory failure. The chest X-ray showed bilateral disseminated miliary nodules and interstitial infiltrates. Transesophageal echocardiography (TEE) revealed vegetation-like lesions over the pulmonary valve. All blood cultures were sterile. Sputum examinations were positive for acid fast bacillus. Treatment with antituberculosis agents led to improvement and survival. The clinical manifestations of miliary tuberculosis complicated with ARDS and infective endocarditis are reviewed. Early diagnosis and therapy are crucial for the successful management of ARDS, multiple organ failure and infective endocarditis due to miliary tuberculosis. |
本系統中英文摘要資訊取自各篇刊載內容。