Tuberculosis of intestine and typical symptom and _ symptom

Tuberculosis of intestine and typical symptom and _ symptom
Tuberculosis of intestine and typical symptom
Go back blind the intersection of department and morbidity of tuberculosis of intestine relatively low, some cases among them do not have typical symptom, if it is apt to misdiagnose to know to this shortage. Will misdiagnose 2 reports of more than one year case to analyze as follows for a long time now.
A case materials
The example 1: Male, 35 years old, peasants. The companion is weak and becoming thin, having night sweating, cough, right lower abdomen secret anguish occasionally, not obviously generating heat to suffer from diarrhoea disconnectedly for 16 months. Go to a doctor in local the intersection of county and hospital many times, excrement accidental to have a little leucocytes now in the routine. Misdiagnose for chronic enteritis for a long time, it offers compound new promises to be quick, Fluorine to can take a favorable turn to treat and suffer from diarrhoea slightly. Came to a hospital in Jing Zhou to go to a doctor in September of 1997, T37.3 , chronic sickly look, becoming thin, heart and lungs did not have unusual physical sign, light tenderness of flat soft, right lower abdomen of belly. Going back to the blind department to take a sample and examine and find tuberculosis and tubercle alive through the intestines mirror, make a definite diagnosis of it tuberculosis of intestine, isonicotinyl hydrazine, rifampin, second amine cube alcohol unite and resist the tuberculosis treatment regularly three times. Suffered from diarrhoea and relieved gradually after January, it is regular and normal to reexamine the excrement. The weight increases 5kg after September.
The example 2: Female, 38 years old, peasants. Disconnected low-heat weak in companion, become thin, less over 2 o'clock such as quantity such as period, have night sweat, cough, right the intersection of lower abdomen and secret anguish and diarrhoea occasionally. Has checked in local hospitals of two grades of townships, counties many times, except that the blood show slight anaemia conventionally, excrement routine, chest scene and belly Ultrasonography B have not found abnormality. It takes traditional Chinese medicine, Fluorine to be sour supplementing the iron pharmaceutical treatment, showing the result in piperazine while being disconnected according to anaemia and enteritis. Enter October 1999 on Jing Zhou city one hospital,physical examination T37.6 , over physical sign and at example is getting the more same basically, find by intestinal the intersection of barium and pharmaceutical radiography that goes back to the blind department to surge making, plan to examine for tuberculosis of intestine, the same scheme resists the tuberculosis treatment. Generated heat to relieve gradually after January, other symptoms also disappear gradually after March. Reexamine the pharmaceutical radiography of intestinal barium one year later and has not seen unusually.
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