Magyar Sebészet
Volume/Issue:
Volume 72: Issue 1
Biológiai terápiát követően fellángoló pulmonalis tbc enterális disszeminációja által okozott vékonybél-perforatio
Authors:
Károly Németh Szent Pantaleon Kórház – Rendelőintézet Dunaújváros, 2400 Dunaújváros, Korányi Sándor u. 4–6.

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Zsolt Vidák Szent Pantaleon Kórház – Rendelőintézet Dunaújváros, Dunaújváros

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Ildikó Tóth Szent Pantaleon Kórház – Rendelőintézet Dunaújváros, Dunaújváros

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Edit Rombauer Szent Pantaleon Kórház – Rendelőintézet Dunaújváros, 2400 Dunaújváros, Korányi Sándor u. 4–6.

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Zoltán Darabos Szent Pantaleon Kórház – Rendelőintézet Dunaújváros, 2400 Dunaújváros, Korányi Sándor u. 4–6.

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Pages:
13–19
Online Publication Date:
Mar 2019
Publication Date:
01 Mar 2019
Article Category:
Case Report
DOI:
https://doi.org/10.1556/1046.72.2019.1.3
Keywords:
tuberculosis; akut has; perforatio; biológiai terápia; tuberculosis; acute abdomen; perforation; biological therapy
Restricted access

Absztrakt:

Esetismertetés: A szerzők egy 78 éves hölgybeteg esetét mutatják be, aki tizenévesként részesült gyógyszeres kezelésben pulmonális tbc miatt, majd a 2015-ben IBD kezelése céljából indított biológiai terápia kapcsán nemcsak légzőszervi tünetei lángoltak fel kb. 60 év tünetmentességet követően, hanem akut has klinikai képe is kialakult. Sürgős műtétre vittük a beteget, ahol vékonybél perforatio miatt segmentresectio történt, a szövettani vizsgálat enterális tbc-t igazolt. A posztoperatív szakban indított gátlószeres kezelés hatására a beteg tünet- és panaszmentessé vált. Megbeszélés: A tuberculosis egy életet veszélyeztető megbetegedés, amely lényegében bármely szervet érintheti. Ezen cikkünkkel szeretnénk felhívni a figyelmet biológiai terápiák, ill. a különböző immunmoduláns kezelések potenciálisan fatális mellékhatásaira és a társszakmák közötti hatékony együttműködés fontosságára.

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0025-0295
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Magyar Sebészet
Language Hungarian
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