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乳糜腹是腹部结核病罕见并发症,既往未有报道。病例女婴,2岁零8个月。感染人类免疫缺陷病毒(HIV),于1991年8月因腹泻2周,厌食1周,呕吐、发烧2天而住院。8个月前因肺炎和口腔念珠菌病而住院。查体:T:38.8℃,W:9.5kg,消瘦及轻度脱水貌,双肺弥漫干罗音,腹部检查正常。胸片提示肺门浸润,CD4淋巴细胞计数48×10~6/L,多次血培养和真菌培养均阴性,诊断为肺炎,疑是卡氏肺囊肿病。入院10天以后,腹部无原因膨胀,CT见腹膜后肿物(直径5～6cm),剖腹探查示肿物质硬而且不规则,为多个大的淋巴结炎和肠系膜,未见淋巴循环梗阻。活检示肉芽肿含抗酸杆菌,诊断为分支杆菌肠系膜淋巴结炎。每日给异烟肼、利福平、乙胺丁醇口服及
Chylous abdomen is a rare complication of abdomen tuberculosis and has not been reported previously. Case baby girl, 2 years and 8 months. Infected with human immunodeficiency virus (HIV), in August 1991 due to diarrhea 2 weeks, anorexia for 1 week, vomiting, fever 2 days and hospitalization. Hospitalized for pneumonia and oral candidiasis 8 months ago. Examination: T: 38.8 ℃, W: 9.5kg, weight loss and mild dehydration, lungs filled with dry rales, abdominal examination was normal. Chest X-ray showed infiltration of the hilar, CD4 lymphocyte count 48 × 10 ~ 6 / L, multiple blood cultures and fungal cultures were negative, diagnosed as pneumonia, suspected card lung disease. Ten days after admission, the abdomen had no reason to swell. CT showed a retroperitoneal mass (5 to 6 cm in diameter). The laparotomy showed that the mass of the tumor was hard and irregular, with multiple large lymphadenitis and mesentery. No lymphatic circulation obstruction was found. Biopsy showed granuloma with acid-fast bacilli, diagnosed as mycobacterial mesenteric lymphadenitis. Daily isoniazid, rifampin, ethambutol oral and