1.Lung squamous cell carcinoma combined with tuberculous pleurisy.
Yi ZHANG ; Shu-Yang YAO ; Yuan-Bo LI ; Jian ZHANG
Chinese Medical Journal 2012;125(20):3755-3756
Carcinoma, Squamous Cell
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complications
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diagnosis
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surgery
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Humans
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Lung Neoplasms
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complications
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diagnosis
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surgery
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Male
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Middle Aged
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Tuberculosis, Pleural
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complications
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diagnosis
;
surgery
3.Coexistence of benign ovarian serous cystadenoma and tuberculosis in a young woman.
Flora Dorothy LOBO ; Meng Yee WONG
Singapore medical journal 2013;54(8):e154-7
Genital tuberculosis involving the ovary in a non-immunocompromised individual is rare. We report a case of coexisting ovarian serous cystadenoma and tuberculosis in a 29-year-old Indian woman. Clinical examination revealed the presence of an abdominal mass suspicious for ovarian neoplasm. Histopathological evaluation revealed ovarian neoplasm and concomitant tuberculosis. To the best of our knowledge, and after an extensive search of the literature, the coexistence of benign ovarian neoplasm and tuberculosis has not been previously documented.
Adult
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Antitubercular Agents
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therapeutic use
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Cystadenoma, Serous
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complications
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surgery
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Female
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Humans
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Ovarian Diseases
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complications
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drug therapy
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surgery
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Ovarian Neoplasms
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complications
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surgery
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Tuberculosis, Female Genital
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complications
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drug therapy
;
surgery
4.Two-stage Surgery for an Aortoesophageal Fistula Caused by Tuberculous Esophagitis.
Hwa Kyun SHIN ; Chang Woo CHOI ; Jae Woong LIM ; Keun HER
Journal of Korean Medical Science 2015;30(11):1706-1709
An aortoesophageal fistula (AEF) is an extremely rare, potentially fatal condition, and aortic surgery is usually performed together with extracorporeal circulation. However, this surgical method has a high rate of surgical complications and mortality. This report describes an AEF caused by tuberculous esophagitis that was treated successfully using a two-stage operation. A 52-yr-old man was admitted to the hospital with severe hematemesis and syncope. Based on the computed tomography and diagnostic endoscopic findings, he was diagnosed with an AEF and initially underwent thoracic endovascular aortic repair. Esophageal reconstruction was performed after controlling the mediastinal inflammation. The patient suffered postoperative anastomotic leakage, which was treated by an endoscopic procedure, and the patient was discharged without any further problems. The patient received 9 months of anti-tuberculosis treatment after he was diagnosed with histologically confirmed tuberculous esophagitis; subsequently, he was followed as an outpatient and has had no recurrence of the tuberculosis or any further issues.
Aortic Diseases/etiology/*surgery
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Eosinophilic Esophagitis/*complications/*surgery
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Esophageal Fistula/etiology/*surgery
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Esophagoscopy/*methods
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Humans
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Male
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Middle Aged
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Treatment Outcome
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Tuberculosis/*complications/surgery
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Vascular Surgical Procedures/methods
5.Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis.
In Suh PARK ; Dongwook SON ; Chanwoo LEE ; Jae Eun PARK ; Jin Soo LEE ; Moon Hyun CHEONG ; Young Mo KIM
Yonsei Medical Journal 2008;49(5):853-856
During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node.
Adult
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Female
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*HIV Seronegativity
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Humans
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Tomography, X-Ray Computed
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*Tracheostomy
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Tuberculosis, Lymph Node/*complications/radiography/surgery
6.Clinical Studies of Tuberculosis of the Spine.
Soon Mahn CHUNG ; Nam Hyun KIM ; Yong An KIM ; Eung Shick KANG ; Byeong Mun PARK
Yonsei Medical Journal 1978;19(2):96-104
During the period from January 1967 to December 1977, 244 cases of tuberculosis of the spine were operated on at the Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. We followed up 176 cases from 6 months to 10 years and the average period was one year and ten months. (Radical curettage and anterior interbody fusion 129 cases, posterior fusion 20 cases, curettage without bone graft 21 cases, and combined anterior and posterior fusion 6 cases.) The results of those studies are as follows: 1) The incidence of Pott's-parplegia was 25% (61 cases) of the total cases. 2) Almost 41 cases (66%) of the total cases of Pott's parplegia have recovered well enough to return after operation to their previous work. 3) In children (below 15 years of age) 50 cases (87.7%) had satisfactory results with bony fusion and in adults 93 cases (94.9%). 4) In children 44 cases (77%) had healing of radiological activity after operation and in adults 104 cases (87%). 5) The younger the spine, the lower the fusion rate. Combined anterior and posterior fusion is the choice of treatment for tuberculosis of the spine in children. 6) Postoperative complications occured in 38 cases (16%) including wound infection, postoperative pneumonia, postoperative pneoumothorax, postoperative atelectasis, paralytic ileus, meningitis, cystitis, and failure in bone graft.
Adolescent
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Adult
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Child
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Child, Preschool
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Female
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Follow-Up Studies
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Human
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Infant
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Korea
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Male
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Middle Age
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Spinal Fusion
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Tuberculosis, Pulmonary/complications
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Tuberculosis, Spinal/complications
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Tuberculosis, Spinal/epidemiology
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Tuberculosis, Spinal/surgery*
7.One stage posterior vertebral column resection for the treatment of thorciclumbar tuberculosis with kyphotic deformity.
You-wen DENG ; Guo-hua LU ; Bing WANG ; Yi-jun KANG ; Jing LI ; Wei-dong LIU ; Fei CHEN ; Ze-min MA
Journal of Central South University(Medical Sciences) 2008;33(9):865-870
OBJECTIVE:
To evaluate the clinical outcome of one stage posterior vertebral column resection in patients with spinal tuberculosis combined with kyphotic deformity.
METHODS:
Thirty-six patients with spinal tuberculosis combined with kyphotic deformity underwent posterior one-stage vertebral column resection reducing tension on the spinal cord from 1998 to 2006. The patients were mobilized with a thoracolumbar orthosis for 3 months. All patients had a minimum of a 2-year follow-up, and clinical examinations and radiographs were obtained at 6-month intervals.
RESULTS:
No perioperative mortality occurred. The average duration of surgery was 208 (145 approximately 385) min. The kyphotic Cobb angle improved from the preoperative average of 57.2 degree(17 degree approximately 86 degree) to a postoperative average of 8.9 degree(-6 degree approximately 27 degree). The average horizontal distance between C(7) and S(1) was 13.6 (8 approximately 19) mm preoperatively and 3.6 (-11 approximately 9) mm postoperatively. Nineteen patients had preoperative neurological deficits. Of them, 89.5% (17/19) showed a postoperative neurologic improvement. Perioperative complications occurred in 3(8.5%) of the 36 patients with pneumonias and superficial infections. Twenty-five patients (69.4%) showed radiographic evidence of solid fusion in the follow-up examinations. In the follow-up, 25% (9/36) patients rated their results as excellent, 66.7% (24/36) as good, 2 as fair, and 1 as poor.
CONCLUSION
One stage posterior vertebral column resection for the treatment of spinal tuberculosis with kyphotic deformity is safe and effective. Because this procedure is highly technical, the surgeon must be familiar with the pathoanatomy and the operation must be carefully done.
Adolescent
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Adult
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Female
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Humans
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Kyphosis
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etiology
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surgery
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Lumbar Vertebrae
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surgery
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Male
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Middle Aged
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Orthopedic Procedures
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methods
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Osteotomy
;
methods
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Spine
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surgery
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Thoracic Vertebrae
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surgery
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Tuberculosis, Spinal
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complications
;
surgery
9.Toxic amebic colitis coexisting with intestinal tuberculosis.
Seung Taek OH ; Eung Kook KIM ; Suk Kyun CHANG ; Eun Jung LEE
Journal of Korean Medical Science 2000;15(6):708-711
A patient with a fulminant amebic colitis coexisting with intestinal tuberculosis had a sudden onset of crampy abdominal pain, mucoid diarrhea, anorexia, fever and vomiting with signs of positive peritoneal irritation. Fulminant amebic colitis occurring together with intestinal tuberculosis is an uncommon event and may present an interesting patho-etiological relationship. The diagnosis was proven by histopathologic examination of resected specimen. Subtotal colectomy including segmental resection of ileum, about 80 cm in length, followed by exteriorization of both ends, was performed in an emergency basis. Despite all measures, the patient died on the sixth postoperative day. The exact relationship of fulminant amebic colitis and intestinal tuberculosis is speculative but the possibility of a cause and effect relationship exists. Fulminant amebic colitis may readily be confused with other types of inflammatory bowel disease, such as idiopathic ulcerative colitis, Crohn's disease, perforated diverticulitis and appendicitis with perforation. This report draws attention to the resurgence of tuberculosis and amebiasis in Korea, and the need for the high degree of caution required to detect it.
Journal Article
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Diagnosis, Differential
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Dysentery, Amebic/surgery
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Dysentery, Amebic/pathology*
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Dysentery, Amebic/diagnosis
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Dysentery, Amebic/complications
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Fatal Outcome
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Human
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Male
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Middle Age
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Tuberculosis, Gastrointestinal/surgery
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Tuberculosis, Gastrointestinal/pathology
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Tuberculosis, Gastrointestinal/complications*