Tuberculosis Left lower pneumonia Whether it is tuberculosis

Will tuberculosis cause tumor indicators to rise Patient: Low fever since September 4 Does tuberculosis cause tumor indicators to rise, Department of Obstetrics and Gynecology, Hebei Chest Hospital, Yang Jinghua, Hebei Chest Hospital**Yang Jinghua: Abdominal and pelvic tuberculosis can lead to an increase in the tumor marker CA125.

In older women, abdominal pain, abdominal distention, pelvic mass, pelvic effusion, and elevated tumor marker CA125 should be differentiated from ovarian tumors in addition to tuberculosis. View the original post

Remember.

A 6-year-old child with cervical tuberculosis in children was referred to our hospital in January due to neck pain and discomfort. There are no obvious symptoms of tuberculosis poisoning. Physical examination:

Nutrition is average, muscle strength and sensation in the limbs are normal, and pathological reflexes are not elicited. X-rays of cervical 67 thoracic 1 vertebral tuberculosis. MRI neck 67 thoracic 1 tuberculosis bilateral paravertebral giant abscess formation.

The "Shandong Province Non-tuberculosis Professional Thoracic Surgery Director Summit Forum" of the Chinese Medical Association Tuberculosis Branch was successfully held The "Shandong Province Non-tuberculosis Professional Thoracic Surgery Director Summit Forum" of the Youth Committee of the Chinese Medical Association Tuberculosis Branch was successfully held in Weihai City, Shandong Province from June 10 to 12. The conference was presided over by Professor Jin Feng, Secretary General of the Youth Committee of the Tuberculosis Branch of the Chinese Medical Association, leader of the Surgical Professional Group, and Vice Chairman of the Tuberculosis Branch of the Shandong Medical Association. Professor Xiao Heping, Chairman of the Tuberculosis Branch of the Chinese Medical Association, Professor Xu Shaofa, Chairman-designate of the Tuberculosis Branch of the Chinese Medical Association, Professor Li Liang, Secretary-General of the Tuberculosis Branch of the Chinese Medical Association, and Professor Liu Zhimin, Member of the Standing Committee of the Tuberculosis Branch of the Chinese Medical Association, attended the meeting and made important speeches.

Professor Song Yanzheng, deputy head of the surgical specialty group of the Youth Committee of the Tuberculosis Branch of the Chinese Medical Association, made a speech at the conference. Professor Tian Hui of Qilu Hospital and other directors of non-tuberculosis thoracic surgery in Shandong Province attended the meeting; Representatives from Shaanxi, Hunan and Sichuan, as well as directors of thoracic surgery specializing in tuberculosis, such as Wang Jun of Qingdao Chest Hospital and Hao Changcheng of Weifang Second People's Hospital, attended the meeting as observers. The meeting focused on the topic of "the development and breakthrough direction of tuberculosis surgery from the perspective of the director of thoracic surgery of non-tuberculosis specialty", and had a heated discussion on the hot spots and difficulties encountered in the diagnosis and treatment of tuberculosis.

Frank exchanges were conducted on the current situation of the intersection and integration of tuberculosis specialty surgery and non-tuberculosis specialties in our province; From the perspective of non-tuberculosis specialty, many useful suggestions were put forward for the development of tuberculosis surgery and the next breakthrough direction. Experts reached a consensus to strengthen the diagnosis and differential diagnosis of tuberculosis and non-tuberculosis diseases, strengthen the consultation of suspected tuberculosis, reduce the misdiagnosis and mistreatment of tuberculosis as much as possible, and do a good job in dealing with misdiagnosis and mistreatment of tuberculosis. It is necessary to understand the problem of tuberculosis from the perspective of eliminating the source of infection. The experts meet again at the next TB meeting.

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1. Pulmonary tuberculosis is a chronic infectious disease of the lungs caused by the invasion of Mycobacterium tuberculosis into the human body, and the clinical manifestations are mainly dry cough, accompanied by different degrees of hemoptysis, emaciation, fatigue and other symptoms. People with tuberculosis can spread the disease by coughing, sneezing, talking loudly, etc., by expelling microdroplets containing Mycobacterium tuberculosis into the air.

Pneumonia refers to inflammation of the lungs caused by a variety of pathogenic microorganisms and some other pathogenic elements. Infections are usually the most common and can be caused by physical and chemical factors, allergies, and medications. The main clinical manifestations are fever, cough, sputum, etc., which can be life-threatening in severe cases.

2 Tuberculosis: Tuberculosis is caused by infection with Mycobacterium tuberculosis.

Pneumonia: Infectious factors of pneumonia: invasion of pathogenic microorganisms such as bacterial pneumonia, viral pneumonia, etc.; Pulmonary infectious factors:

e.g. from toxic gases, chemicals or toxic fumes, etc.; Disruption of human protection mechanisms: heavy smoking, air pollution, etc.; Human factors: It is easy to be infected with pneumonia after being exposed to rain and cold.

3. Pulmonary tuberculosis: The onset of pulmonary tuberculosis is relatively slow, and patients generally have low-grade fever in the afternoon, and rarely have symptoms of chills and residual fever, no cold sores, and night sweats.

Pneumonia: rapid onset, generally accompanied by high fever, chills, often retained fever, obvious pain in the chest, few symptoms of night sweats, and common cold sores.

4. Blood test results are different.

Tuberculosis: patients with tuberculosis have a generally normal or only mildly elevated blood count.

Pneumonia: the total number of white blood cells and neutrophils is markedly increased in patients with pneumonia.

Tuberculosis: patchy shadows can be seen on chest x-ray, mostly in the two upper lungs, which are prone to early dissolution cavitation and bronchial spread.

Pneumonia: Pneumonia is dense with irregular translucent areas, and pneumonia lung segments or lobes are homogeneous flaky shadows with thin density and no translucent areas.

Positive for pulmonary tuberculosis has the following conditions: First, the ** test result of tuberculin is positive. Usually suggests tuberculosis infection, but may be a reaction to previous BCG vaccination.

Second, the patient had a positive T-spot test result. It may be an infection suggestive of tuberculosis bacteria but is not necessarily evidence of active tuberculosis. Third, the patient's sputum smear found acid-fast bacilli, that is, smear.

Usually suggests that the patient has open tuberculosis and must be treated with standard antituberculosis**.

What is your age, gender? Chest CT image?

Fever, cough, lung shadows, and cavities alone cannot be determined to be tuberculosis, and the causes are as follows:

1. Your fever is high-grade fever, which does not meet the symptoms of low-grade tuberculosis, unless it is co-infected, caseous pneumonia, and blood type disseminated tuberculosis.

2. Cavities in the lungs do not necessarily mean tuberculosis, Wegener's granuloma, lung cancer, lung abscess, etc.

3. Negative tuberculosis skin test. The tuberculin test has a certain false negative rate, but it also has a certain reference value, if you do not have the influence of factors such as physical emaciation, immunosuppression, etc., if the skin test is negative, you should refer to your clinical manifestations and lung imaging, if there is sputum, it is best to check for sputum tuberculosis bacteria** or culture, gene amplification. If tuberculosis bacteria are not found in the sputum and the skin test is negative, the diagnosis of tuberculosis is questionable.

4. I don't know if you have used tuberculosis medicine, if you have used tuberculosis medicine and the symptoms still do not improve, tuberculosis is suspicious.

If the diagnosis is confirmed, the following items need to be checked: repeated search for tuberculosis bacteria in sputum and, if available, bronchoscopy, culture of tuberculosis bacteria, or gene amplification. Routine blood tests, renal function, and urine tests (to see if there is an infection.)

Abnormalities in renal function and urinalysis should rule out vasculitic disorders such as Wegener's granulomatosis. ）

Since there is no other information about your medical history, I can only talk about it here, and if there is a ** that comes up, it is better to judge.

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Prevention and treatment of tuberculosis, healthy Shandong.

It is recommended to go to a regular and specialized hospital, that is, a hospital that specializes in tuberculosis and tuberculosis. It's hard to diagnose, and you're out of luck if you meet a quack. The last time I had pneumonia, I was directly judged by quacks at the Zhangmutou Zhangyang Community Health Station to be tuberculosis, and they also said that my illness was very serious, and they also said that I got this disease in my twenties, and you are finished, etc., which scared me to death.

Later, when I went to a specialized hospital, an old doctor told me that based on his decades of experience, he could not diagnose all cases from X-rays, and he had to take blood tests, sputum tests, and CT tests, which could only be confirmed by many procedures. In the end, he said that mine was pneumonia, so I really wanted to go back and scold those quacks who had no evidence and no medical ethics, so that I didn't go to work for a few days, and I had a fever of more than 39 degrees for several days because I couldn't get rid of the fever because I was not diagnosed.

Was the PPD experiment done recently? In general, TB infection can be negative in the early stages and will not turn positive until 4 to 8 weeks later. Chest pain should be caused by an infection involving the pleura.

Taking medicine can be relieved, what kind of medicine is taken? Is there a cavity in the lungs, is there a level in the cavity? Is there phlegm?

What about the blood routine?