| 胡闯,李琦,高剑,等.附睾结核合并双侧肾上腺结核 1例报告[J].安徽医药,2025,29(7):1424-1426. |
| 附睾结核合并双侧肾上腺结核 1例报告 |
| Epididymal tuberculosis combined with bilateral adrenal tuberculosis: a case report |
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| DOI：10.3969/j.issn.1009-6469.2025.07.032 |
| 中文关键词: 结核，男性生殖器 肾上腺结核 附睾结核 Addison病 糖皮质激素 酶联免疫斑点试验 误诊 |
| 英文关键词: Tuberculosis, male genital Adrenal tuberculosis Epididymal tuberculosis Addison disease Glucocorticoid Enzyme-linked immunospot assay Diagnostic errors |
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| 中文摘要: |
| 目的提高临床工作者对于泌尿系结核治疗的重视程度。方法回顾性分析武汉科技大学附属天佑医院 2022年 4月收治的 1例附睾结核合并双侧肾上腺结核的罕见病例。结果完善影像学及实验室检查，提示双侧肾上腺结核、附睾结核，予以抗结核治疗后行附睾切除术。术后病理学为附睾结核，术后继续予以抗结核及口服糖皮质激素治疗，随访 1年病情稳定，未见明显进展。结论在无泌尿系系统外结核杆菌感染前提下，附睾结核合并肾上腺结核较起病隐匿，临床上少见且误诊率较高，虽然目前关于感染播散机制尚不完全清楚，但该病例提示在发现附睾结核的同时应警惕肾上腺结核同时存在的可能。 |
| 英文摘要: |
| Objective Tuberculosis of the epididymis combined with adrenal tuberculosis is rare in clinical practice and has a highrate of misdiagnosis. It is necessary to enhance the awareness of clinical workers regarding the treatment of urogenital tuberculosis.Methods A rare case of epididymal tuberculosis combined with bilateral adrenal tuberculosis admitted to Tianyou Hospital Affiliatedto Wuhan University of Science and Technology in April 2022 was retrospectively analyzed.Results Imaging and laboratory tests were completed, which indicated bilateral adrenal tuberculosis and epididymal tuberculosis. After anti-tuberculosis treatment, an epididy-mectomy was performed. The postoperative pathological outcome confirmed epididymal tuberculosis. Postoperatively, anti-tuberculosis and oral glucocorticoid treatments were continued. During the one-year follow-up, the condition remained stable without significant pro-gression.Conclusions In the absence of tuberculosis infection outside the urinary system, epididymal tuberculosis combined with ad-renal tuberculosis is relatively insidious at the onset. Although the mechanism of infection transmission is not completely clear, thiscase suggests that the possibility of adrenal tuberculosis should be suspected when epididymal tuberculosis is diagnosed. |
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