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结核菌感染可引起机体的变态反应而呈现各种临床表现,但由于呼吸道症状较少,临床上易误诊。现就经过临床和治疗证实误诊4例报道如下: 例1,女,25岁。因双踝、膝关节反复发作性红肿痛4年,伴下肢蚕豆大小红斑结节。拟诊为风湿性关节炎,给对症治疗,但症状缓解和复发交替出现,以春季复发较多;故长期服消炎痛、强的松,有发热时加用青,链霉素。后因低热、轻咳10天而就诊。体检:T37.8℃。右上肺呼吸音减弱且稍
Mycobacterium tuberculosis infection can cause the body’s allergy and showed a variety of clinical manifestations, but due to less respiratory symptoms, clinically misdiagnosed. Now after clinical and treatment confirmed misdiagnosis of 4 cases reported as follows: Case 1, female, 25 years old. Due to double ankle, knee repeated episodes of swelling and pain for 4 years, with lower extremity broad bean erythema nodules. To be diagnosed as rheumatoid arthritis, to symptomatic treatment, but the symptoms of relapse and recurrence alternately to spring more; so long-term service indomethacin, prednisone, fever with green, streptomycin. After due to fever, light cough 10 days and treatment. Physical examination: T37.8 ℃. Right lung breath sounds weaker and slightly