tailieunhanh - Báo cáo trường hợp lao phổi tiền siêu kháng thuốc kết hợp lao gan tại Bệnh viện Phổi Trung ương năm 2023

Bài viết báo cáo ca bệnh lao phổi tiền siêu kháng thuốc kết hợp lao gan hiếm gặp, với hi vọng góp tiếng nói của mình trong thống kê y học, cũng như chia sẻ kinh nghiệm trong chẩn đoán và điều trị bệnh lý hiếm gặp này. | Vietnam Journal of Community Medicine Vol. 65 Special Issue 3 49-54 CHUYÊN ĐỀ LAO CASE REPORT PRE - EXTENSIVELY DRUG - RESISTANT PULMONARY TUBERCULOSIS COMBINED WITH HEPATIC TUBERCULOSIS AT NATIONAL LUNG HOSPITAL IN 2023 Truong Duc Thai Nguyen Kim Cuong National Lung Hospital - No 463 Hoang Hoa Tham Ba Đinh Hanoi Viet Nam Received 23 02 2024 Revised 12 03 2024 Accepted 30 03 2024 ABSTRACT Objective This article aims to report a case of pre extensively drug resistant pulmonary tuberculosis combined with hepatic tuberculosis. The primary goals include contributing to scientific data as well as sharing insights into the diagnostic and treatment processes. Case report We describe a 21-year-old female who was admitted to the hospital with symptoms of coughing up yellow sputum occasionally coughing up small amounts of blood and fever in the afternoon and evening with no abdominal symptoms. The patient accidentally discovered peritoneal damage that covers the liver and liver damage by abdominal ultrasound and the diagnosis was confirmed by abdominal magnetic resonance imaging and biopsy of the peritoneal. Histopathological results of the biopsy specimen were granulomatous inflammatory lesions suggestive of tuberculosis. We diagnosed this as a case of pre extensively drug resistant pulmonary tuberculosis combined with peritoneal tuberculosis and hepatic tuberculosis. The patient was treated with tuberculosis drugs according to the guidelines of the National Tuberculosis Program and international recommendations. After 10 months of treatment the patient responded well in terms of clinical symptoms lesions on chest X-ray and abdominal magnetic resonance imaging. Discussion The discussion focuses on the epidemiology the etiology and the treatment of hepatic tuberculosis. In this case we report about how we can diagnose hepatic tuberculosis based on clinical symptoms imaging tests microbiology as well as histopathology tests and treatment response of the patient after 10 .