Tuberculose extrapulmonaire: deux cas avec atteintes hepatiques, spleniques, peritoneales et cerebrales. [Extrapulmonary tuberculosis: 2 cases with hepatic, splenic, peritoneal and cerebral involvement]

Détails

ID Serval
serval:BIB_586557312235
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Tuberculose extrapulmonaire: deux cas avec atteintes hepatiques, spleniques, peritoneales et cerebrales. [Extrapulmonary tuberculosis: 2 cases with hepatic, splenic, peritoneal and cerebral involvement]
Périodique
Revue Médicale de la Suisse Romande
Auteur(s)
Greub  G., Erard  P.
ISSN
0035-3655 (Print)
Statut éditorial
Publié
Date de publication
05/1996
Volume
116
Numéro
5
Pages
391-8
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Résumé
Two cases of unusual extrapulmonary tuberculosis are presented. One patient was suffering of a pulmonary tuberculosis involving the brain, liver, spleen and peritoneum, with headaches, ascites, weight loss and night sweats. The other patient had lymph nodes and nodular liver tuberculosis and complained of fever, right upper quadrant pain, anorexia and weight loss. This tuberculosis form is extremely rare; only 23 cases were reported between 1950 and 1990. Furthermore, a drug-induced hepatitis developed in a liver already damaged by the tuberculosis and a chronic active C hepatitis. These two cases remind us that the diagnosis of extrapulmonary tuberculosis may be extremely difficult. It must be suspected mostly in patients that are immuno-depressed or whose origins are not caucasian. Other diagnoses are often wrongly suggested, such as tumors, inflammatory diseases or other infectious diseases. As a result, the correct diagnosis or other infectious diseases. As a result, the correct diagnosis is often delayed. If cultures are negative and the chest roentgenogram is normal, procedures such as transbronchial, liver, bone marrow or lymph node biopsies may help to properly identify the disease.
Mots-clé
Adult Antitubercular Agents/therapeutic use Brain/pathology Humans Liver/pathology Male Peritoneum/pathology Spleen/pathology Tomography, X-Ray Computed Tuberculosis, Miliary/*diagnosis/drug therapy/pathology
Pubmed
Création de la notice
25/01/2008 15:27
Dernière modification de la notice
20/08/2019 15:12
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