目錄/各期文章

內科學誌 -第33卷第3期

病例 
Extra-pulmonary Tuberculosis with Mediastinal Lymphadenopathy and Ocular Involvement  全文閱讀
227~232 
英文 
Ocular tuberculosis、Extra-pulmonary tuberculosis、Necrotizing granulomatous inflammation、Mediastinal lymphadenopathy 
鄭儀羚1,4 、張曉青3 、林武甫1,2  
衛生福利部臺北醫院內科部1 、衛生福利部臺北醫院感染科2 、衛生福利部臺北醫院眼科3 、國立陽明交通大學護理學院臨床護理研究所4  
Extrapulmonary tuberculosis has variable clinical manifestations, and the infection sites can be anywhere in the body. Owing to the difficulty in obtaining a microbiological diagnosis, it is common to make a presumptive diagnosis using laboratory data, imaging studies, and pathological examination as indirect evidence. In addition, the treatment response to the empirical antituberculosis regimen indicates whether tuberculosis is the correct answer. Here, we present a case of extrapulmonary tuberculosis with multiple mediastinal lymphadenopathies and ocular involvement. The diagnosis was made based on the relevant clinical presentations and typical pathological reports. The patient recovered well after empirical antitubercular treatment. A comprehensive study should be attempted and would provide further help to build the diagnosis.