| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 5725242 | 1609463 | 2017 | 3 صفحه PDF | دانلود رایگان |
کلمات کلیدی
1.گزارش مورد
جدول 1. آزمایش خون.
شکل 2. اشعه X قفسه سینه یک افیوژن پلورال بزرگ در سمت چپ، افیوژن پلورال کوچک در سمت راست و برخی غدد و ترکیب در هر دو ریه را نشان می دهد.
2.بحث
شکل 3. سی تی اسکن پس از تخلیه افیوژن پلورال چپ که نشان دهنده گره های لنفاوی متعدد و پراکندگی ضخامت پلورال در ریه چپ است که تا شامه شش مدیاستین توسعه می یابد.
We report the case of a 47-year old Caucasian man with a history of depression and high alcohol intake who presented with a one-month history of weight loss, dry cough and abdominal pain. He had no smoking history of note. The patient was treated for a suspected chest infection, however developed respiratory failure and was intubated. A CT showed multiple pulmonary nodules, left pleural thickening extending to the mediastinum and bilateral pleural effusions-larger on the left, suggestive of disseminated malignancy. A broncho-alveolar lavage surprisingly contained numerous acid-fast bacilli and no malignant cells. Treatment for tuberculosis was initiated and the patient recovered gradually. After several weeks, a pyrazinamide-resistant organism was cultured and subsequently identified to be Mycobacterium Bovis.We discuss this unexpected finding and review the literature on Bovine Tuberculosis in humans.
Journal: Respiratory Medicine Case Reports - Volume 20, 2017, Pages 198-200