Misdiagnosis Analysis and a Literature Review of One Patient with Subacute Hematogenous Pulmonary Tuberculosis Combined with TBM and Multiple Brain Tuberculomas
NIU li-ya
GE Xiang-hua
LI Xiao-yue
LI Bao-sheng
SUN Dian-xing
Abstract：Objective To investigate clinical features of subacute hematogenous pulmonary tuberculosis combined with tuberculous meningitis (TBM) and multiple brain tuberculomas in order to improve levels of diagnosis and treatment.Methods Clinical data of 1 patient with subacute hematogenous pulmonary tuberculosis combined with TBM and multiple brain tuberculomas was retrospectively analyzed.Results The patient was admitted for edema in facial surface and both lower extremities for 2 years, intermittent cough and fever for 3 months and hyperpyrexia for 1d.The patient had a history of chronic nephritic syndrome and long-term oral glucocorticoids.After admission, examinations such as routine blood test, lumbar puncture cerebrospinal fluid examination, chest CT and head MIR were performed, and subacute hematogenous pulmonary tuberculosis combined with TBM and multiple brain tuberculomas was confirmed.The patient was given glucocorticoids and anti-tuberculosis treatments, and then was discharged when the condition was stable.After discharge, the patient kept oral administration such as Isoniazid , Rifampicin, Pyrazinamide and Methylprednisolone.The patient's condition was stable without recurrence.and the patient was still followed up till now.Conclusion Subacute hematogenous pulmonary tuberculosis combined with TBM and multiple brain tuberculomas is rare, and early diagnosis and treatment can obviously improve the prognosis.
Keywords：MeningitistuberculousTuberculomaintracalvariumMisdiagnosisPulmonary tuberculosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1-4 )