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題 名 | Genital Tuberculosis with Peritonitis Mimicking Meigs' Syndrome: A Case Report=生殖器官結核病併發腹膜炎、腹水及肋膜積水:一病例報告 |
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作 者 | 楊盈盈; 馮長風; 俞懿渟; 姜仁惠; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:3 1999.09[民88.09] |
頁 次 | 頁217-221 |
分類號 | 417.3 |
關鍵詞 | 生殖器官結核病; 腹膜炎; Genital tuberculosis; Peritonitis; Meigs' syndrome; |
語 文 | 英文(English) |
中文摘要 | 一個十九歲女性,生殖器官結核的病例。除了肺結核以外她是以腹部及肋膜積水 來表現。月經量變少、漸進性發燒、咳嗽有黃痰及體重減輕等是她早期的表現。由於痰液培 養有結核菌之感染,她接受了八個月的抗結核藥物治療。於是她接受剖腹探測術以確定診斷 。手術發現廣泛的結核性結節病變瀰漫於腹膜、側巢、子宮內膜、腸道及肝臟下緣。在組織 切片下可見典型之乳酪狀壞死、巨大之表皮化細胞。組織在特殊染色後見到不少結核菌。於 是她再接受兩個月之抗結核性藥物後出院。之後,她總共還接受了一年的持續治療。在後來 的三年追蹤當中除了腹部不適的症狀緩解外,當中她還能順利的生育了兩個健康的小孩。 |
英文摘要 | A 19-year-old girl presented with genital tuberculosis (TB) complicated with peritonitis and pleural effusion. In addition to oligomenorrhea, her initial presentation included symptoms of intermittent high fever, exertional dyspnea, productive cough and body weight loss. Acid-fast bacilli were identified by sputum culture. She continued to suffer from persistent abdominal discomfort and body weight loss after eight months of anti-TB treatment. Finally, exploratory laparotomy was performed under the suspicion of Meigs' syndrome or TB peritonitis. Operative findings included diffusely granulomatous change over the peritoneum, ovaries, endometrium, intestine and liver. Histologic examination of the ovaries and endometrium showed caseous necrosis associated with Langhan's giant cells and epithelial cells. Acid-fast stain revealed numerous acid-fast bacilli. She was discharged after two months of anti-TB treatment. Anti-TB therapy was continued for one year after discharge. During 3 years of post-discharge follow up, she was free of abdominal discomfort and had given birth to two healthy children. |
本系統中英文摘要資訊取自各篇刊載內容。